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Personal Telephone Consultation Information Form


With a wide variety of charts, the astrologer can discuss your aptitudes and problem areas in great detail.  We offer coaching to assist you in making the best of your personal talents and the conditions in effect.  If you're discussing a relationship, please provide birth data for both people on the order form. This is good to order around your birthday or as a birthday gift.

Telephone consultations normally run for one hour and a half at $100/hr

CONFIDENTIALITY
ALL personal information gathered during the ordering and registration process is kept in strictest confidence. It is not released for any reason whatsoever.

*Required information

Members SAVE 10% (Discount will be applied when card is processed).
Are you a member? yes
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* Email
* Name of the person paying for this service
* Name of the person receiving this report
Gender
Male       Female
Birth Date (M/D/Y)
Time of Birth
Location of Birth
Location at Birthday THIS YEAR
2nd Person: Name
2nd Person: Gender
Male       Female
2nd Person: Birth Date (M/D/Y)
2nd Person: Time of Birth
2nd Person: Location of Birth
2nd Person: Location at Birthday THIS YEAR
If you are ordering services where the Astrologer will be responding to your question(s), please provide them in this space.
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