Silver Wizard Home

My Philosophy of Astrology

How I Do Readings

Testimonials

How to Order

Computers and Electronics

Contacting the Wizard

Favorite Quotes

Relationship Chart Order Form

Filling out this form and clicking Submit will cause this data to be sent to me by email.  I will respond as soon as possible.  

If you would like one or more natal charts to also be done, please fill out and submit the Natal Order Form once for each chart requested.  For additional services, there is an entry box at the bottom of the Natal Order Form for special requests.  Redundant birth information does not need be filled out.

 

Ordering & Delivery Data:

Name:

Email Address:

Phone (daytime):

For mail delivery of your charts and CD's:

Address:

City:     State:     Zip:


Person #1 Birth Data:

Name (as used now):

Full Name at Birth:

Date of Birth: Month/Day/Year

Place of Birth:

Time of Birth: ** See Large Note About Birthtime Accuracy 

Accuracy of Birth Time:

Where is person residing now ?? 


Person #2 Birth Data:

Name (as used now):

Full Name at Birth:

Date of Birth: Month/Day/Year

Place of Birth:

Time of Birth: ** See Large Note About Birthtime Accuracy 

Accuracy of Birth Time:

Where is person residing now ?? 

Type of relationship ??   


Payment Information:

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.

How long has this relationship been a relationship ???   

What about this relationship caused you to seek astrological analysis ??

 

What are the three major questions about this relationship that you would most like to know more about ?? 

 

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 ???? 


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

 

                                      

 

 

  !! Large Note About Birthtime Accuracy 

Performance of a very detailed relationship analysis requires very accurate birth time and location data for both people.  Without accurate birthtime information the analysis is much more limited but can still be of service, most particularly to the person who has an accurate birthtime to work from.  Please contact the wizard for more information if desired by clicking here.

Return to Person #1 Data Entry

Return to Person #2 Data Entry

 

 

 

 

 

 

 

 

 

Last Update 03/31/05 08:33 PM

Hit Counter