Kharizma Astrology - Order Form 1

Option 1 - Birth Chart (up to 4 questions answered) - £35 sterling including postage

Name
Title (Mr/Mrs/Miss/Ms/Other)
Sex	MaleFemale
Email Address
Full postal address including post code. This is the address to which the chart will be sent

Name on chart
Title (Mr/Mrs/Miss/Ms/Other)
Sex	MaleFemale
Date of Birth
Place of Birth
Country of Birth
Nearest large town or city if not UK
Time of Birth	am pm
Is this time...	exact
	accurate to within half an hour
	approx
	not known
Do you have any areas of special interest, e.g. love, marriage, career, finances, health etc. or any questions or problems to which you are seeking an answer? You may ask up to 4 questions in the box on the right.