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CONTACT / BOOK

LETS GET YOU TAKEN CARE OF.​

PLEASE COMPLETE THE BELOW FORM TO THE BEST OF YOUR ABILITY TO BOOK OR GET IN TOUCH WITH MADELEINE.
IF THIS REQUEST IS TIME SENSITIVE, YOU MAY ALWAYS REACH OUT DIRECTLY:
PHONE # - (610) 906-0040
EMAIL - MADELEINE@PRAKASATOHEAL.COM

 

Contact / Book:

What Services are you Interested in?

Please include what you're inquiring for, ideal dates of service, if applicable, and anything else that would give us more information.

Birthday
Month
Day
Year

If you checked the box above to be added to The Village, please share your birthday so we know when to send your token of love and birthday celebration.

If you checked the above box to be added to The Village, please add your address so we know where to send mail.

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Be a Part of The Village:

So we know who to greet.

If you want Madeleine to personally message you about village events, new services, free offerings, etc.

Birthday:
Month
Day
Year

For a small token of love around the time of your birthday.

Not required, but here for you if you'd like to receive the occasional letter, gift, or token.

© 2026.  Prakasa  All rights reserved.
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