Special Havan / Yagaya/ Cosmic/ Psychic /
Paranormal Ritual
Yagya Order Form
Instructions:
There are several ways to order for Paranormal Help
When completing the Order Form, note these points:
Mailing Information
Name (First, MI, Last): _________________________________________________________
Street address: _______________________________________________Apt:____________
City: _______________________________________State: ___________Zip: ___________
Country: ____________________________________
Phone: (_______)___________________ E-mail address: ___________________________
Your Latest Photograph or the photograph of person / home to which you wish to do Paranormally Clean.
Have you had a Mystic Order or Jyotish horoscope/ Paranormal Help from Paramhansa or Vedlink before? Yes / No (Circle one)
Birth Information
Date of Birth (Month/Day/Year):
______________________________________
(Please spell out the month & date; e.g.,
April 3, 1967; September 19, 1938)
Exact Time of Birth
(Hours/Minutes ): _____________AM or PM
?_______ (e.g., 9:06 PM)
From birth certificate, mother, family records, other
(Circle one)
Rectify Birth Time? Yes / No
(Circle One) (for details see Rectification)
Time
Zone (if known):
___________________________ (e.g., Pacific
Daylight Time)
Place of Birth / City:
________________________________ State: _________________
Country:
____________________________________
Longitude (if known): ___________________________ (e.g., W 123 deg 04 min)
Latitude (if known): _____________________________ (e.g., N 44 deg 05 min)
Personal Information
The following information will help the Jyotish astrologer and Paranormal
Acharya / Guru verify the
correctness of the birth information:
Male / Female (Circle one)
Married / Single / Separated /
Divorced / Widowed (Circle one)
Number of children (e.g., 1 son, 2 daughters):
______________________________________________________________
Profession/Occupation:
______________________________________________________________
Education:
_______________________________________________________________
Mother Living: Yes / No (Circle one)
Father Living: Yes /
No (Circle one)
Number of Siblings (e.g., 1 sister, 2 brothers):
________________________________________________________________
Please describe any body marks you may have, such as a birthmark, mole,
scar, etc.
(I have a scar on my right forearm.
I have a small oval birthmark on my shoulder.)
________________________________________________________________
Please give dates of 2 significant events in your life ( I was married on May 4, 1978; My first child was born
on August 10, 1981.). Note: If your birth time is to be
rectified, give exact dates for 6 events.
1.
2.
Please specify your Feeling or Block or
Catch, which you wish Occult Guru to look into
State briefly you would like the Acharya to concentrate
to see:
(When all this started? What was that
entity? how will be my Home, will it be safe from entity?)
1.
2.
3.
4.
5.
___ I wish to order a Paranormal Help: $ 350 Or INR 15000/-(For Checking ) or US $ 550 or INR 30,000/- (for Complete treatment)
___ I wish to have my Astrological Life Reading: INR 11,000/- or US $ 300
(optional). (It Takes about 10 to 14 days)
Total Amount: _______________
We Accept Dakshina / Payment
through UPI BHIM , Paypal and For NEFT/RTGS
for Details, eMail to acharya@paramhansa.com
Please Note:
A Occult or Psychic treatment is the personal power of Master and it depends on individual's practice and it varries from Region, language and area. It should not be used as a substitute for advice, programs, or treatment that you would normally receive from a licensed professional, such as a lawyer, doctor, psychiatrist, or financial advisor. Paramhansa, Inc. makes no warranties or representations regarding the accuracy or significance of any aspect of the paranormal help, and cannot be responsible for any interpretation or use that may be made of it.