Virgin and Lion - Click for AstroScope Me Homepage

Astrology Soul Connection
Astrology Readings

Print this form & Mail or Fax it to us!
Thankyou for choosing AstroScope Me with Soul Connection. Your astrology report will arrive beautifully bound, with a clear interpretation and well-drawn chart. You should receive your order within 21 days.


1. TO PLACE AN ORDER
Telephone: If you are paying by credit card, we accept telephone orders 9am to 6pm AEST Mon-Fri. Please review the following and call +61 2 4861 3600 with your order.
Fax: Alternatively you may send completed forms by fax to: +61 2 4861 2208
Mail: If you are paying by check or money order, or wish to mail the order, complete and send, making payable to:
  • Digital Online Technology
    PO Box 1910
    Bowral NSW 2576
    Australia
Internet/Web: We also offer an instant online ordering service at
http://www.astrologycom.com/order1.html
or click to contact us

2. PRODUCT SELECTION
Chart NameValueQtyTotal
Birth Star (brief)$29.95[ Astrology Space]$_____
Birth Star (standard)$79.95[ Astrology Space]$_____
Birth Star (intensive)$129.95[ Astrology Space]$_____
Modern Buckram Binding$70[ Astrology Space]$_____

Personal Prediction (1 month)$33[ Astrology Space]$_____
Personal Prediction (3 months)$99[ Astrology Space]$_____
Year Ahead - 12 month forecast$350[ Astrology Space]$_____
Modern Buckram Binding$70[ Astrology Space]$_____

Relationship Analysis$99.95[ Astrology Space]$_____
Soul Connection (standard)$59.95[ Astrology Space]$_____
Soul Connection (intensive)$99.95[ Astrology Space]$_____
Compatibility Report$49.95[ Astrology Space]$_____
Combination Special$149.95[ Astrology Space]$_____
Intensive Power Combination Special$249.95[ Astrology Space]$_____
Modern Buckram Binding$70[ Astrology Space]$_____

Total$_____


3. PAYMENT INFORMATION

[ Astrology Space] Check/Money Order (US$ Funds only)
or
[ Astrology Space] VISA [ Astrology Space] MasterCard [ Astrology Space] AMEX [ Astrology Space] Diners


Credit Card Number: |__|__|__|__|__|__|__|__|__|__|__|__|__|__|__|__|

Expiry: |__|__/__|__| Name on credit card: _____________________

Billing Address: ___________________________________________________

City: ______________ State: _____ Country: _________________ Code: __________

Telephone: (____) _____ - _________ Email: _________________

Signature: __________________________________ Date ________________

4. DELIVERY INFORMATION
[ ] Check this box if same as above

Name: ____________________________________

Address: ___________________________________________________________

City: ______________ State: _____ Country: _________________ Code: __________

Telephone: (____) _____ - _________ Email: ________________

Any special instructions? __________________________________________

5. READING INFORMATION

Name of Person: _______________________________________________
(Use the name as you wish it to appear on report)

Date of Birth: Day |__|__| Month |__|__| Year |__|__| __|__|

Please write name of month here in full: ______________________

Time of Birth: |__|__:__|__| ____ (AM or PM?)

Place of Birth: ________________________________

State: ____________ Country: ____________________

Gender: M / F     Nearest Major City: _________________


6. ADDITIONAL INFORMATION FOR SPECIFIC READINGS
a. For Forecast

Start Date: Day |__|__| Month |__|__| Year |__|__| __|__|

Please write name of month here in full: ______________________

b. For Relationship Analysis & Soul Connection
Name of Second Person: _______________________________________________
(Use the name as you wish it to appear on the report)

Date of Birth: Day |__|__| Month |__|__| Year |__|__| __|__|

Please write name of month here in full: ______________________

Time of Birth: |__|__:__|__| ____ (AM or PM?)

Place of Birth: ________________________________

State: ____________ Country: ____________________

Gender: M / F     Nearest Major City: _________________

c. Specific Questions to be answered with detailed interpretation or combination charts
  • 1 _______________________________________________

  • 2 _______________________________________________

  • 3 _______________________________________________

7. ORDERING FOR MORE THAN ONE PERSON?
If you are ordering readings for more than one person, please copy or print Section 5 and (if required) Section 6 for each person.

8. PLACING YOUR ORDER
Thank you for completing this form. Please make checks and money orders payable to Digital Online Technology. You may place your order by:
Fax: +61 2 4861 2208
Mail: Digital Online Technology
PO Box 1910
Bowral NSW 2576
Australia
Telephone: +61 2 4861 3600
Call us Mon-Fri, 9am to 6pm AEST.
website: http://www.astrologycom.com
or click to contact us

Articles | AstroMatch | Search | Books | Contact | Feed Subscribe to Feed | Forum | Postcards | Glossary | Links | Site Map
Bookmark and Share

AstroScope Me

AstroScope Me
PO Box 1910 Bowral NSW 2576 Australia
Phone: +61 2 4862 5792 – Fax: +61 2 4862 5792
Click here to go to Pisces Click here to go to Aquarius Click here to go to Capricorn Click here to go to Sagittarius Click here to go to Scorpio Click here to go to Libra Click here to go to Virgo Click here to go to Leo Click here to go to Cancer Click here to go to Gemini Click here to go to Taurus Click here to go to Aries This page was last modified on Saturday, 12 December 2015