Testimonial Form

Your Heartfelt Testimonial
By giving this Testimonial you agree that it shall be made Public so that someone else can be motivated to move towards their Divine Guidance?:*

Yes
Full Name*

FIRST NAME LAST NAME
Date of Birth:*

MONTHDAY YEAR
Profession*
E-mail:*
Phone / Mobile Number:*

Country CodePhone Number
Address*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip CodeCountry
Words from Your Heart:*
How has Roshani Shenazz / Sparkling Angels helped you or a loved one? Tick 1 or All that has helped.*

Through Angel Soul Therapy WorkshopThrough Corporate or other WorkshopsThrough Angel Soul Therapy Reading & Healing SessionsThrough the Monthly WHOLEistic Living Spiritual Meetings / MeditationsThrough the Break-Down to Break-True Personal Mentoring / Coaching SessionsThrough Facebook / Instagram / Blog updatesThrough YouTube videosThrough other group or club or organization Seminar that you attendedThrough our Spiritual Mentoring What's App & Facebook GroupsAny other way not mentioned above, please write it in the "Words from your Heart" Box
Tell us how you want us to use your Name. TICK only One Option.*

Use my Full Name as in the FormUse only my Initials & location. Example: Mr. / Ms. RS from Mumbai, IndiaUse the word Anonymous or any fictitious name with my location. Example: Anonymous from Mumbai, India
How happy is your heart for coming to us?:*
Optional Image/Video: (accepts mpg, avi, jpg, jpeg, png, gif)

Upload a File
If you wish to share your picture or video, permitting us to put on our Social Media pages, our website, future books, YouTube channel, etc. then, kindly upload here. By uploading you grant your default permission for all such publishing along with your loving Testimonial. You also confirm that you are the owner and same person as in the picture or video. You indemnify us against any refute or objection caused by any 3rd Party, in concern with your testimonial, video or picture submitted to us. Cancelof
Disclaimer:

* The complete discretion to utilise the information above, in part or full, kept as it is or edited for corrections, remains entirely, with the Spiritual Management of **WHOLEistic Wellbeing Pvt. Ltd. / Sparkling Angels.

* Any violation of content, through words or pictures or video, sent through this form, shall be discarded and officially reported if need be. Any impersonating or violation on this permission shall be looked into strictly. Kindly be honest with yourself and the God within and beyond.

* You shall never be disturbed or pressured in anyway through our Center or its representatives.

* Your personal information shall remain our responsibility and never be shared. We respect our relationship with you and your privacy.

Blessings for your wellbeing!

** All copyrights in perpetuity - Roshani Shenazz / WHOLEistic Wellbeing Pvt. Ltd. / Sparkling Angels Holistic Healing (SAHH)
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Your Heartfelt Testimonial