Make your own free website on Tripod.com
 
PSYCHIC RESOURCES    PAGE_______OF________
PRI#  2221          Call date:  RECORD ALL CALLS
PSYCHICS NAME:                                                                         EXT#
__________________________________________________________________________
call time________     am   pm   call length_____ YES! enroll caller in club_______  
 
First name:_________________________________________________

Last name:_______________________________ 
 

Address: ________________________________ 
 
apt.#_______________________________________________________
 City:_________________________________________State:_________ Zip Code:___________________________________________________
Birthdate: _______________________________ 
 
   call time________     am   pm
 call length_____ YES! enroll caller in club_______  
 
First name:_________________________________________________

Last name:_______________________________ 
 

Address: ________________________________ 
 
apt.#_______________________________________________________
 City:_________________________________________State:_________ Zip Code:___________________________________________________
Birthdate: _______________________________ 
 
  
call time________     am   pm   call length_____ YES! enroll caller in club_______  
 
First name:_________________________________________________

Last name:_______________________________ 
 

Address: ________________________________ 
 
apt.#_______________________________________________________
 City:_________________________________________State:_________ Zip Code:___________________________________________________
Birthdate: _______________________________ 
 
  
call time________     am   pm   call length_____ YES! enroll caller in club_______  
 
First name:_________________________________________________

Last name:_______________________________ 
 

Address: ________________________________ 
 
apt.#_______________________________________________________
 City:_________________________________________State:_________ Zip Code:___________________________________________________
Birthdate: _______________________________ 
 
  
call time________     am   pm   call length_____ YES! enroll caller in club_______  
 
First name:_________________________________________________

Last name:_______________________________ 
 

Address: ________________________________ 
 
apt.#_______________________________________________________
 City:_________________________________________State:_________ Zip Code:___________________________________________________
Birthdate: _______________________________ 
 
    NEXT PAGE