Astrology services

Simpaticos - Information Form

How do you and your romantic partner face the world? Do you surprise your friends and family at every turn? Learn how the two of you relate to the world – look deeply into your relationship to find out what makes it so special. As you understand the potential areas for conflict as well as harmony, you master the fine art of the empowering and intimate relationship you seek.


Simpaticos Report via postal - $20.00

CONFIDENTIALITY
ALL personal information gathered during the ordering and registration process is kept in strictest confidence. It is not released for any reason whatsoever.

*Required information

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*Name of the person paying for this service:

Personal Information about the person(s) receiving this service:

	Name:
	Gender (M/F):
	Birth Date (M/D/Y):
	*Time of Birth (AM/PM) If birth time unknown use 6:00 am:
	*Location of Birth:
	Location at Birthday THIS YEAR:
	2nd Person: Name:
	2nd Person: Gender:
	2nd Person: Birth Date (M/D/Y):
	2nd Person: Time of Birth (am/pm) If unknown use 6:am:
	2nd Person: Location of Birth:
	2nd Person: Location at Birthday THIS YEAR:
	If you are ordering services where the Astrologer will be responding to your question(s), please provide them in the space below.:
	"Timing is Everything" orders only: Please provide either 3 potential dates in the year, or a 3 month time period in which the event will occur, in the space below. :
	"Timing Is Everything" orders only: Please provide event location in the space below.:
	*Email Address:

STEP 1:
Make sure that all of the above information is correct.