Astrology Hour

	Items marked with a star () are mandatory and must be filled out before the form can be submitted.

	Name
	Gender
	Date of birth
	Your time of birth is a very important piece of information in astrology. Much information is obscured if the time of birth is not known and it is therefore very much in your best interest to try and find out as precisely as possible the time of your birth. Even an approximate time is better than none at all.
	Time of birth
	If you do not know your time of birth, please check below

	If your exact birth time is not known, please use the space below to explain how accurate you think it is or any pertinent information relating to your time of birth.
	Accuracy of time
	Town/city of birth
	State/county/province
	Country
	Email address
	Email (again)
	If you would like to request a personal consultation at my home, please check below (I will email you about this):

	Service required*
		Work undertaken on a concessionary basis will be a shortened report addressing a specific area or concern. Full-priced reports will take priority.

	Please use the space below to provide any pertinent or supporting information.


	When complete:	or