Sidereal Horoscopes Order Form

NEW (YET OLDEST) SIDEREAL ASTROLOGY PERSONAL
ASTRO ANALYSIS

To facilitate the production the whichever horoscope chart you require  - we will need the following birth information - 

Please provide the following information:

Name
Title
Street Address
Address (cont.)
City
State/Province
Zip/Postal Code
Country
Home Phone
FAX
E-mail

Please identify and describe the person that the chart is for:

Name
Date of Birth

Enter the time of birth ( please tell us the source of the birth time - this will allow us to estimate the quality of the time. Also the time must show AM/PM and whether Summer time, war time, or standard time was relevant)

Enter how you know the time of birth in the space provided.
(e.g. birth certificate, hospital records, mothers memory )

Enter your place of birth in the space provided .
(Town, state, country)

Choose one of the following options:


Once you have entered all the information, and checked it for possible mistakes, please press submit once only, Then wait for a few minutes.

Thank you

 

 

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Revised: February 28, 2007