Your full name: |
[required fields are in bold] |
e-mail address: |
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Click box if updating/correcting your details already submitted.
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Your address: |
Address: | |
| Address: |
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City or Town: |
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| [If USA] State: |
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Country: |
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Post/Zip Code: |
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Telecom Contact: |
Telephone: [Day] | |
Telephone: [Evening] | |
| Mobile or Cell Phone: | |
| Fax: | |
Telephone line for readings: |
Telephone: | [Main line for readings] |
Answering System: |
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| This line should be your main line for receiving readings. You can alter it later and you can take calls from temporary numbers. However, your main line should ideally not have any type of voice mail, call waiting or automatic answering system as it may interfere with your readings. So if you don't have an answering system on the line type none. If you have one, let us know the type and how it can be deactivated. |
Birth Details: |
Birth Date: |
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Birth Time: |
[Local (Clock) Time, please] |
Place: |
[City/Town & Country] |
Technology: |
Internet Connection: |
[Speed of your connection.] |
| Website Address: | [enter http://www.mywebsite.com format.] |
Astrology Software: |
Astrolabe Solar Fire.
Matrix.
AstroCalc.
Electric Ephemeris.
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| Other Software: | [add any other astro programs.] |