GLYNIS HAS YOUR NUMBER
WWW.NUMBERSLADY.COM
Corporate or Private Party Request Form
Office: (626) 614-9333
Fax: (626) 614-9292
Date of Event: _______________
Time of Event: ________ a.m./p.m.
Type of Party: (Mark one below)
Corporate ____
Private ____
If Corporate, name of Corporation: ________________________
Number of Attendees: _____
Location of Party: Residence___ Business___ Hotel/Restaurant ___
Type of Booking : (Mark one below)
Numerology Workshop and live readings ___
Live readings only ___
Contact Information:
Name of Contact Person: __________________
Phone Number: (___)__________
Email Address: _______________
(If outside of California, flight and hotel accommodations for Glynis McCants must be covered)
You may email this form back to us at numbersladyinfo@aol.com or fax us at (626) 614-9292.
Thank you! : )