Consultations
can be done over the phone or in person. After
your consultation, you will receive a copy of your Jyotish Astrology
Chart, a Blueprint Chart, and an audio tape recording.
Please
complete this form, send to your printer, and mail with your check
to the address below.
Required
Personal Information & Birth Data
Full Name:
Street Address:
City, State, Zip:
E-mail Address:
Phone Number:
Best time to reach you:
Date of Birth:
Place of Birth:
Time of Birth:
What
is the origin of your time of birth information?
For
Compatibility Reading, please enter your partner's full name and
birth information
Partner's
Full Name:
Date
of Birth:
Place
of Birth:
Time
of Birth:
What
is the origin of this time of birth information?
Order
Information
AMOUNT
Jyotish
Astrology Blueprint $150
Compatibility
for Couples $200
Talisman
Recommendation $125
Parashara
Reading $100
Priority Shipping:
TOTAL:
Please
print this form and mail with a money order, cashier's check or
personal check to:
