Extra Points Astro Package

 

This is a secure https order form.

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INCLUDES


Asteroid Report
Fixed Stars Report
Galactic Report

 
Birth Information
Please double check birth information. There is a half price charge for work having to be done over.

1st PERSON:

Name:

month     -     day      -     year
Birthday:

Place of Birth:

Include AM or PM or GMT
Birth Time:

If no birth time check here:
 

2nd PERSON:

Name:

month     -     day      -     year
Birthday:

Place of Birth:

Include AM or PM or GMT
Birth Time:

If no birth time check here:


Payments are through PayPal or check.
Submit the order form as usual.  I will write back the correct total
with a direct link to PayPal and the address to mail a check
.

 

Person making order:

Address for credit card billing authorization:
Street Address or P.O. Box:
City: State: Zip Code:

Total cost of order:  $15.00
Two packages for two people: $30.00


E-MAIL address for report delivery:

Please leave specific instructions  in the box below.