STEP 1 - Personal Information Form

3 Easy Steps! 

Complete Chart Reading

First, in order to process your order, we must have your specific astrological and personal information in order to perform your "Personalized Readings". Your privacy is very important to us and will not be sold nor shared with anyone outside of this website.

You must enter all the information correctly to assure that your reading is accurate and that we may contact you in case there is additional information needed!

Once all questions are answered - click STEP 2 button only once  please. Thank-you!


First Name  * Verification: Mandatory
Last Name 
* Verification: Mandatory

Address (Current) * Mandatory
City (Town, Locality)* Mandatory
State (Province, Region, etc.)
* Mandatory
Zip Code  (Mail Code)
* Mandatory
Telephone (Area Code & Telephone No.) * Mandatory
Email * Please Verify: Mandatory
Date of your Birth (example: 01/01/1966) * Mandatory
Time of your Birth (example 2:35 AM or unknown) * Mandatory
The City, Town, or Borough of your Birth  * Mandatory
The State of your Birth
* Mandatory
Country of your Birth * Mandatory
Country reside today * Mandatory


( Select One )


Marital Status
( Select One )

Additional Comments:

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created 1/26/18