To Place In Order

Telephone: If you are paying by credit card, we accept telephone orders 8:30 am to 5:30 pm PST Mon-Fri. Please review the following and call 415-447 6193 with your order. Fax: Alternatively you may send completed forms via fax to: 415-447 6191 Mail: If you are paying by check or wish to mail the order, complete and send to: Astrology.Net Attn: Orders Department 3220 Sacramento Street, #26 San Francisco CA 94115 Internet/Web: We also offer an instant online service at http://astrology.net/AstroShop/chartshop 2. PRODUCT SELECTION Chart Name With Birth Time Birth Time Not Known Qty Total Natal Horoscope $18 $14 [ ] $_____ Child Horoscope $18 $14 [ ] $_____ Man $18 $14 [ ] $_____ Woman $18 $14 [ ] $_____ Gay $18 $14 [ ] $_____ Lesbian $18 $14 [ ] $_____ Vocation $15 N/A [ ] $_____ Karmic Insight $15 N/A [ ] $_____ Naughty Natal $10 N/A [ ] $_____ Flower Essence and Gemstone $18 $14 [ ] $_____ Forecast (1 month) $10 N/A [ ] $_____ Forecast (3 months) $18 N/A [ ] $_____ Forecast (6 months) $29 N/A [ ] $_____ Solar Return-12 Mth Forecast $39 N/A [ ] $_____ Compatibility Friends $28 $19 [ ] $_____ Compatibility Romantic $28 $19 [ ] $_____ Short Compatibility Romantic $12 $10 [ ] $_____ Relocation $7.95 first city $4.95 each additional city N/A [ ] [ ] $_____ $_____ Sub-Total $_____ Sales Tax (CA Only add 7.5%) $_____ (Shipping and Handling: USA $3, International $5) Post $_____ Total US$_____ 3. PAYMENT INFORMATION [ ] Check/Money (US$ Funds only) or [ ] VISA [ ] MasterCard [ ] AMEX [ ] Discover Credit Card Number: |__|__|__|__|__|__|__|__|__|__|__|__|__|__|__|__| Expiry: |__|__/__|__| Name on credit card: _____________________ Billing Address: ___________________________________________________ City: ______________________ State: _________ Country: __________ Telephone: (____) _____ - ________ Signature: __________________________________ Date ________________ 4. DELIVERY INFORMATION [ ] Check this box if same as above Name: ____________________________________ Address: ___________________________________________________________ City: ______________________ State: _________ Country: __________ Telephone: (____) _____ - ________ Any special instructions? __________________________________________ 5. READING INFORMATION Name of Person: _______________________________________________ (Use the name as you wish it to appear on report) Date of Birth: Month |__|__| Day |__|__| Year |__|__| __|__| Time of Birth: |__|__:__|__| ____ (AM or PM?) Place of Birth: City _______________________ State ____________ Country ____________________ Gender: M / F 6. ADDITIONAL INFORMATION FOR SPECIFIC READINGS a. For Forecast Start Date: Month |__|__| Day |__|__| Year |__|__| __|__| b. For Compatibility Name of 2nd Person: _______________________________________________ (Use the name as you wish it to appear on report) Date of Birth: Month |__|__| Day |__|__| Year |__|__| __|__| Time of Birth: |__|__:__|__| ____ (AM or PM?) Place of Birth: City _______________________ State ____________ Country ____________________ Gender: M / F c. For Relocation City 1 ______________ Country _________ City 2 ______________ Country _________ City 3 ______________ Country _________ City 4 ______________ Country _________ City 5 ______________ Country _________ 7. ORDERING FOR MORE THAN ONE PERSON? If you are ordering multiple readings for different people, please copy or print Section 5 and (if required) Section 6 for each person. 8. PLACING YOUR ORDER Thank you for completing this form. You may place your order via: Fax: 415-447 6191 Mail: Astrology.Net Attn: Orders Department 3220 Sacramento Street, #26 San Francisco CA 94115 Telephone: 415-447 6193 Call us Mon-Fri, 8:30 am to 5:30 pm PST, USA Again, thanks for your order, we will forward your readings promptly. Personal checks please allow 2-3 weeks for delivery.