HOROSCOPE / BIRTH CHART

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Order Form

Horoscope/Birth Chart Order Form

Print out or copy the Order Form for Horoscope/Birth Charts and send to:

Chantal Morrissette
2045 Beaudry St.
Apt. # 1,
Montreal, Quebec,
Canada
H2L-3G4
(Include Full Payment ($40.00us)-Check or Money Order)

Full Name:_______________________________________

Mailing Address:___________________________________ ________________________________________________ ________________________________________________

Phone #:_________________________________________

Date of Birth:_____________________________________

Time of Birth:____________________________________
(If exact time is not know then try and be as close as you can...example--am or pm)

City of Birth:_____________________________________

Province/State Born:______________________________

Country of Birth:__________________________________

It will take about two to three weeks before you get the horoscope.