Order Form

For each desired report, fill out this form selecting the report you would like to purchase. Print the form(s) and email or regular mail  to: Marsha Kratzman 220 LN 101 Barton Lk. Lt. 164 Fremont, IN   46737 kratzmak@verizon.net (We prefer Pay Pal for payment, but If paying by check, make checks payable to Marsha Kratzman.  *After your check has cleared you will receive your report* **Printed and mailed reports please add $6.00 to defray printing and postage costs**) Asteroids  $9.95   Astro*Talk  $9.95   BioWriter  $9.95   Child*Star  $9.95   Friends & Lovers  $9.95   Life Progressions  $9.95   Lunar Return  $7.95   Relating Potential  $9.95   Simpáticos  $9.95   Sky Within  $9.95   Solar Return Predictions  $9.95   TimeLine Forecast  $4.95

For all reports (except Friends & Lovers and Simpaticos) fill out just the birth data for "Person #1". For F&L and Simpaticos, fill out the both "Person #1" and "Person #2" (for the two individuals involved). [If ordering Friends & Lovers, select: Friends or: Lovers ] Birth Chart Information Person #1 [Needed for all reports] Name: (Last name, First) Gender: Male Female BirthDate: Month January February March April May June July August September October November December Day 01 02 03 04 05 06 07 08 09 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 29 30 31 1860 1861 1862 1863 1864 1865 1866 1867 1868 1869 1870 1871 1872 1873 1874 1875 1876 1877 1878 1879 1880 1881 1882 1883 1884 1885 1886 1887 1888 1889 1890 1891 1892 1893 1894 1895 1896 1897 1898 1899 1900 1901 1902 1903 1904 1905 1906 1907 1908 1909 1910 1911 1912 1913 1914 1915 1916 1917 1918 1919 1920 1921 1922 1923 1924 1925 1926 1927 1928 1929 1930 1931 1932 1933 1934 1935 1936 1937 1938 1939 1940 1941 1942 1943 1944 1945 1946 1947 1948 1949 1950 1951 1952 1953 1954 1955 1956 1957 1958 1959 1960 1961 1962 1963 1964 1965 1966 1967 1968 1969 1970 Year 1971 1972 1973 1974 1975 1976 1977 1978 1979 1980 1981 1982 1983 1984 1985 1986 1987 1988 1989 1990 1991 1992 1993 1994 1995 1996 1997 1998 1999 2000 2001 2002 2003 2004 2005 2006 Please enter actual time per birth certificate: BirthTime: (most accurate report) Hour 01 02 03 04 05 06 07 08 09 10 11 12 : Minute 00 01 02 03 04 05 06 07 08 09 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 29 30 31 32 33 34 35 36 37 38 39 40 41 42 43 44 45 46 47 48 49 50 51 52 53 54 55 56 57 58 59 AM/PM? AM PM OR, if you don't know your birthtime, Check here: Birth City: Birth State: (or Country) Person #2 [Needed for all reports] Name: (Last name, First) Gender: Male Female BirthDate: Month January February March April May June July August September October November December Day 01 02 03 04 05 06 07 08 09 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 29 30 31 1860 1861 1862 1863 1864 1865 1866 1867 1868 1869 1870 1871 1872 1873 1874 1875 1876 1877 1878 1879 1880 1881 1882 1883 1884 1885 1886 1887 1888 1889 1890 1891 1892 1893 1894 1895 1896 1897 1898 1899 1900 1901 1902 1903 1904 1905 1906 1907 1908 1909 1910 1911 1912 1913 1914 1915 1916 1917 1918 1919 1920 1921 1922 1923 1924 1925 1926 1927 1928 1929 1930 1931 1932 1933 1934 1935 1936 1937 1938 1939 1940 1941 1942 1943 1944 1945 1946 1947 1948 1949 1950 1951 1952 1953 1954 1955 1956 1957 1958 1959 1960 1961 1962 1963 1964 1965 1966 1967 1968 1969 1970 Year 1971 1972 1973 1974 1975 1976 1977 1978 1979 1980 1981 1982 1983 1984 1985 1986 1987 1988 1989 1990 1991 1992 1993 1994 1995 1996 1997 1998 1999 2000 2001 2002 2003 2004 2005 2006 Please enter actual time per birth certificate: BirthTime: (most accurate report) Hour 01 02 03 04 05 06 07 08 09 10 11 12 : Minute 00 01 02 03 04 05 06 07 08 09 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 29 30 31 32 33 34 35 36 37 38 39 40 41 42 43 44 45 46 47 48 49 50 51 52 53 54 55 56 57 58 59 AM/PM? AM PM OR, if you don't know your birthtime, Check here: Birth City: Birth State: (or Country) Your Mailing/Contact Information: First Name: Last Name: Street: City: State: (or Country) Zip Code:     Email Address: Please send the report by Email   Mail [Note: AOL and WEBTV accounts do not permit emailing these reports (do to their size limitations). You may create a free account at www.yahoo.com or site of your choice  to receive your report. ]

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