Ordering & Delivery Data:

Name:

Email Address:

Phone (daytime):

For mail delivery of your charts and CD's:

Address:

City:     State:     Zip:

Birth Data:

Name (as used now):

Full Name at Birth:

Date of Birth: Month/Day/Year

Place of Birth:

Time of Birth:

Accuracy of Birth Time: Select Answer From Birth Certificate Quoted from Memory -- Reliable Quoted from Memory -- Vague Estimated Birth Time Unknown

Where are you residing now ?? 

Desired Method of Payment:  PayPal               Check or Money Order

 ** PayPal handles my transactions for Visa, MasterCard, American Express, and Discover.  Signing up for a PayPal account is optional for first time users.  This means you can complete your credit card payment first, and then decide whether to save your information in a PayPal account for future purchases.

If you selected to pay via PayPal I will send you an email invoice which will lead you through the checkout procedure.  If you selected check or money order, I will email you the payment mailing address.

(More information about using PayPal is available at www.paypal.com).

** The following questions are optional.  Answering them will assist me in serving you better and insure that I cover your areas of greatest interest.

What other places have you lived that have made a major impact on your life ??

What is the most pressing question on your mind, and how long has it been pressing??

What are the three events out of your life you still have lingering feelings or issues with??  When and where did each happen?? 

Any additional information you would like me to know before I perform your reading, or to request additional services, please use this box:

Order an additional Audio CD (or CD's) of your reading for only $11

Two copies of your CD’s included with your order – one intended for a disaster-proof location, the other to wear out playing.  

Please Note: I do not archive the CD-quality audio recording of each  reading, so duplicate CD's must be ordered with original reading order.  However, I do keep an archive of very compressed MP3 audio of all my recorded readings – so your reading may be able to be resurrected later if required, but at a much lower audio quality and higher cost.

Order Your Extra Set ????  Select Answer Yes No

Once you click Submit below, I will receive your request by email.