Your Astrology Chart

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I am looking forward to do your astrology! Please fill out the form below with your information so I can start working on your chart.

Note: If you’ve signed up for a multiple person reading, then I need them or you to fill this page out for each individual person separately. Here is the link you can click to open up this page in another window on your computer now – click here.

What you can expect from your chart reading: When I receive your information I will call you and schedule your reading. The only thing you need do is set aside 90 minutes in a quiet place as I will be recording the session for you. You will receive a 30 page chart by email. Let me know if you don’t have email and I will mail to you your information.





Your Name (required)

Birth Date (required)

City Where Born (required)

State Where Born (required)

Time of Birth (required)

Your Email (required)

Your Phone (required)

If you’re doing an Astro-cartography reading with me I also need the following information.

Location you would like to have astro-cartography done for:

City, State

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