MULTI-PERSON ORDER
 

Please fill out this part for person #1 (REQUIRED)
Birth Date: Name:  
Birth Time: Email:  
Birth City: Phone:
 		 
Birth State:
 Mailing
Address:		  

OPTIONS:
Item 1:   Item 2:  

If "POWER PLACES" up to 3 Cities:

If "ASTROLOCALITY MAP":

1st City

2nd City

3rdCity

    By Country

By Continent

World Map

 

    

Please fill out this part for person #2 (if applicable)
Birth Date: Name:  
Birth Time: Email:  
Birth City: Phone:
 		 
Birth State: Mailing
Address:		  

OPTIONS:
Item 1:   Item 2:  

If "POWER PLACES" up to 3 Cities:

If "ASTROLOCALITY MAP":

1st City

2nd City

3rdCity

By Country

By Continent

World Map

 

    

Please fill out this part for person #3 (if applicable)
Birth Date: Name:  
Birth Time: Email:  
Birth City: Phone:
 		 
Birth State:
 Mailing
Address:		  

OPTIONS:
Item 1:   Item 2:  

If "POWER PLACES" up to 3 Cities:

If "ASTROLOCALITY MAP":

1st City

2nd City

3rdCity

By Country

By Continent

World Map

 

    

Please fill out this part for person #4 (if applicable)
Birth Date: Name:  
Birth Time: Email:  
Birth City: Phone:
 		 
Birth State:
 Mailing
Address:		  

OPTIONS:
Item 1:   Item 2:  

If "POWER PLACES" up to 3 Cities:

If "ASTROLOCALITY MAP":

1st City

2nd City

3rdCity

By Country

By Continent

World Map

 

    

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© 2011 Dr. Lauren Meggison - All Rights Reserved