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