Consultation Order Form
Please fill in the form above and click submit. Ensure that you have entered your Time of Birth, Place of Birth and Date of Birth in the Birth Data section. The place of birth needs to include the town/city, state/county and country. You can obtain your Time of Birth from the hospital records by contacting them and requesting this information.
You can also copy or print the information below and forward it by email to me, or mail it to the following address:
Pearl Finn, 12 Dalysfort Road, Salthill, Galway, Ireland.
Telephone: +353(0)872441502 Email: firstname.lastname@example.org
Choice of consultation includes:
- Personal In-depth analysis
- Relationship Compatibility
- Annual Horoscope
Or you can specify an area you would like to focus on.
My Birth Data:
Date _________________________ Time of Birth ___________________
Place of Birth (Town/City) ______________________________________
County/State of Birth __________________________________________
Country of Birth ______________________________________________
If your place of birth is a small, please give the nearest large town/city
E-mail Address ___________________________________________________