application form for paid listener services and consent letter and fee payment

 

Paid Listener Application Form

Full Name: Email Address: Phone Number: Preferred Mode: Phone Call Chat Problem/Concern:

Pay Listening Fee via UPI

Scan the QR Code below and make the payment.

 

Online Fee Payment

Please pay your fee using UPI

Online Fee Payment

Scan QR or Click Button

Pay Fee via UPI

UPI ID : 9340150829@upi

⚠️ IMPORTANT: After clicking "Submit Application," you must manually attach the payment screenshot in the email before sending.

Consent Letter

I, ________, hereby consent to avail the paid listener service and acknowledge the terms & conditions. I confirm that I have completed the UPI payment. I agree to the Terms & Conditions. I consent that this service is for emotional listening and guidance only and not medical, legal, or professional therapy.

Signature:

I agree to the Terms & Conditions