Astrology Central
Chart and Report Order Form

To order your astrological chart or report, fill out this form and mail it along with your money order to the address below, or fax the form with your credit card information. All reports in English. All orders in US Dollars only. Additional charges for shipping outside the US.


Natal Chartwheel $9.95 Astro-Cartography Map $9.95
The Sky Within $29.95 Astro-Cartography Explained $29.95
Biorhythm Report $29.95 Astrology Chart Interpretation $34.95
Relationship Report $34.95 Numerology Report $34.95
Child Star Report $54.95  


Astro-Cartography Report Location (if applicable)


First Person's Full Birth Name

Birth Day, Month, Year

Birth City, County, Country

Time of Birth (indicate AM or PM)


Second Person's Full Birth Name (for Relationship Report)

Birth Day, Month, Year

Birth City, County, Country

Time of Birth (indicate AM or PM)

Report Type: Romantic Friendship


Where should we mail your report?

Your Name

Full Street Address

City, State, Zip and Country

Email Address

Phone Number and Area Code

Fax Number and Area Code

Visa MasterCard Money Order Total Order Amount
Credit Card Number

Expiration Month & Year

Your Signature authorizing Ocampa to charge your credit card

How did you find us? And comments, suggestions or questions:


Print this form and mail it with along with your money order or fax it with your credit card information.
Thank you for your order!

Ocampa
Alta, CA 95701

Fax: 530-389-8616

Email

 

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