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PSYCHIC & ASTROLOGICAL SERVICES ORDER FORM

Check service you want to order below:
Mini Personal Horoscope  $ 15.00
45 Min. Horoscope On Cass. Tape w/Chart  $ 70.00
Chart Comparison  $ 90.00
Location Chart  $ 90.00
Email Psychic Tarot Reading  $ 10.00
Psychic Reading By Telephone - 30 Min.  $ 30.00
Psychic Reading By Telephone - 1 Hour  $ 55.00
Short Telephone Reading (20 min.)  $ 25.00

----------------------------- Check Payment Method Below: Visa Master Card Check/M.O. Enter credit card # Exp. date (MM/YY): Enter name as it appears on card: ------------------------------ ASTROLOGICAL DATA Enter: Date of Birth (mm/dd/yy): Birth Time (eg. 11:15AM): Enter Birthplace: City State/Prov. Country ------------------------------ Email Address: MAILING ADDRESS Name Address City State/Prov. Post/Zip Code Telephone #: Enter any comments or questions in box:

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