Order Form for Astrological Reports
Order Form
| ITEM | List Price | yOUR pRICE | QTY | AMOUNT |
| SUB-TOTAL | $________:_______ |
| First Name | Last Name | SexM/F | Birth Dateday/month/yr.e.g 4/Apr/65 | Birth Timeam/pmHours & minutes | Birth placetown/city& country | LanguageRequired |
| YOUR RETURN ADDRESS (please print clearly) FIRST NAME: LAST NAME: |
For ordering, please print out the above order form or just list which reports you want, providing all the above information.•All reports are in English unless otherwise stated.•Sorry, we don’t yet accept credit card payments.•Prices subject to change without notice.•All prices are in Canadian Dollars
PLEASE MAIL CHEQUE AND ORDER FORM TO:
Phil Booth360A Bloor Street WestPO Box 68556Toronto, ONM5S 1X1



