ASTROLOGY
REPORTS APPLICATION FORM
(Please use separate forms for ‘Friends and
Lovers’ compatibility reports & ‘Location’
Astrology reports)
Please
print off this form and complete clearly in BLOCK letters.
Please enclose cheque/postal order/international money
order, made payable to L. Fleet
in UK pounds sterling
(£) and send to:
Mr. L.
Fleet
3
Bristol Hill
Brislington
BRISTOL
BS4
5AA
UNITED KINGDOM
NAME & ADDRESS TO WHICH REPORT IS TO BE SENT:
TITLE:
INITIALS:
SURNAME:
ADDRESS:
POST CODE:
E-MAIL ADDRESS:
TEL. No:
IMPORTANT – Please read the following notes before
completing the remainder of this form:
Please
do not guess times of birth, it is important that the time is as accurate as
possible,
(
preferably within + or – 10 minutes ).
For
midday birth enter ‘NOON’.
For
midnight birth, enter ‘00.00AM’ for start of day or ’11.59 PM’ for end of day.
Give
times in local clock time, i.e. time on clock.
If
birthplace is small, also please provide name of nearest town.
Please
allow 14 days for delivery.
A:
Astro*Talk £18 B: TimeLine £19 C:
Child*Star £15 D: Opportunities £15
E: Biorhythms £11
SPECIAL OFFER: A + B: £31 (Post free on all reports).
Only date of birth is required for E: Biorhythms.
CHRISTIAN NAMES:
SURNAME:
SEX M/F:
BIRTH DATE (DAY/MONTH/YEAR):
TIME OF BIRTH (HOUR/MIN):
AM OR PM:
BIRTHPLACE, COUNTY, REGION & COUNTRY:
CIRCLE REPORTS REQUIRED: A B C
D E COST (£):
CHRISTIAN NAMES:
SURNAME:
SEX M/F:
BIRTH DATE (DAY/MONTH/YEAR):
TIME OF BIRTH (HOUR/MIN):
AM OR PM:
BIRTHPLACE, COUNTY, REGION & COUNTRY:
CIRCLE REPORTS REQUIRED: A B C
D E COST (£):
CHRISTIAN NAMES:
SURNAME:
SEX M/F:
BIRTH DATE (DAY/MONTH/YEAR):
TIME OF BIRTH (HOUR/MIN):
AM OR PM:
BIRTHPLACE, COUNTY, REGION & COUNTRY:
CIRCLE REPORTS REQUIRED: A B C
D E COST (£):
CHRISTIAN NAMES:
SURNAME:
SEX M/F:
BIRTH DATE (DAY/MONTH/YEAR):
TIME OF BIRTH (HOUR/MIN):
AM OR PM:
BIRTHPLACE, COUNTY, REGION & COUNTRY:
CIRCLE REPORTS REQUIRED: A B C
D E COST (£):
CHRISTIAN NAMES:
SURNAME:
SEX M/F:
BIRTH DATE (DAY/MONTH/YEAR):
TIME OF BIRTH (HOUR/MIN):
AM
OR PM:
BIRTHPLACE, COUNTY, REGION & COUNTRY:
CIRCLE REPORTS REQUIRED: A B C
D E COST (£):
CHRISTIAN NAMES:
SURNAME:
SEX M/F:
BIRTH DATE (DAY/MONTH/YEAR):
TIME OF BIRTH (HOUR/MIN):
AM OR PM:
BIRTHPLACE, COUNTY, REGION & COUNTRY:
CIRCLE REPORTS REQUIRED: A B C
D E COST (£):
TOTAL
COST (£):
NOTE!: If B: ‘TimeLine’ or D:
‘Opportunities’ are selected, please provide the person’s current town, county
and country if different to mailing
address given above, (this is for astrological calculation purposes).
If you should experience any problems in printing this form, please
E-mail or write to me & I will
send an application form to you by E-mail or post, (whichever is most
suitable for you).
RETURN TO ASTROLOGY HOMEPAGE………