Home and Land Cleansing Request Form

First name

Last name

Email

Phone

Upload File

Add Pictures of the Home and/or Land

Address

Why are you requesting a home and land cleanse?

Description of what is happening on the property/in the home or building?

Check each item to acknowledge and agree to the following

Home & Land Cleansing are$250 for the hour and must be prepaid.

All cleansings will be performed remotely.

Would like to meet on Zoom during the clearing?

Yes

No

Would like to have the clearing performed entirely remotely (no Zoom) and then receive an email with information about the clearing?

Yes

No