Geographical | Location Astrology
$15.95Price
Geographical / Location Astrology
1-10 cities
Astrology birth info form
Name_______________________________________
E-mail Address____________________________________
Daytime Phone #___________________________________________
Birthdate Birthtime
Mo/Day/Year)____________________
(Indicate AM or PM)____________
Birthplace (City/State)______________________________________
County_____________________________________
NOTE: Add your information to Notes upon checkout. The chart will be emailed. Please add your email address.