Order Form 1

ASTROLOGY for The Future

Astrological Reading - Order Form

Name:

Address:

Town:

County / Postcode:

Country:

Telephone:

E-Mail Address:

Date of Birth:

Male / Female:

Time of Birth:

Place of Birth:

Country of Birth:

Please send me my personal Astrological Reading Total

£55

Postage and Packing included

Signed: ______________________________ Dated: ______________
I do not hold the author responsible for any possible outcome whatsoever, resulting from the interpretation of the report and materials I am requesting

Simply complete this form, then E-MAIL it to us
we will then e-mail you with confirmation and payment details