Order Form for Astrological Mapping Report

Print and post with cheque giving the information asked for below.

I would like a report centred on the following location town or city.

............................................................................................................................................

Additional locations*........................................................................................................

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Name ................................................................................................................................

Address ............................................................................................................................

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Tel. ..........................................Email ...............................................................................

Date of Birth ........................................... Time of Birth ..................................................

Place of Birth ..........................................

I enclose a cheque for £15 (plus £5 for each added location)

Send to Derek Hawkins 11 Meadow View Hungerford Berkshire RG17 0YY

(cheques payable to Derek Hawkins please)                     Back to Astromapping