Birth Chart Reading - Your Purpose

Name *

This is the name we will use on your chart. Your name does not impact the reading in any way.

First Name

Last Name

Phone

This is the number we will use to call you for the consultation (unless we agree to use Skype). Landlines tend to work better than cell phones. If you only have a cell, please do just make sure you have a full charge and are in a good reception zone.

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Preferred Method of Communication for Consultation

Phone Call

Skype

Zoom

Level of Astrological Knowledge

None

Beginner

Intermediate

Advanced

Birth Date

If you prefer not to send your birth data using this form, please just let us know that in the text area below "Birth Time Unknown or Uncertain". You can leave us a voice message with your birth data at 805-409-4605. IMPORTANT: MONTH, DAY, YEAR FORMAT!

MM

DD

YYYY

Birth Time Source

Birth Certificate

Baby Book, Bracelet

Family Memory

Rectification

Uncertain or Unknown

Other