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Name & Contact
Who is placing the order or accepting the promotional offer?
Name
*
First Name
Last Name
Email
*
Re-Enter Email For Accuracy
*
Remember to watch Promotions & Spam folders for business replies and chart deliveries.
Phone Number
*
Please enter a valid phone number.
Details To Go On Chart
Who is the chart for?
Full Name at Birth: (correct spelling)
*
First Name
Middle Names
Last Name
Full Name Currently: (correct spelling)
*
First Name
Middle Names
Last Name
Date Of Birth: (correct details) (month, day, year, & time if available)
*
Location Born: (correct location) (city, province, country)
*
If This Is A Gift:
Please deliver to my email address already provided.
Instead, I'd love you to deliver my gift to my recipient's email address, along with my note in an attractive style. (no extra charge)
Gift Recipient's Email Address
Re-Enter Email For Accuracy
Remember to remind your recipient to check Promotions & Spam folders for chart deliveries. They will be watching for delivery from lightworker333@nexicom.net
Please Include My Note To My Recipient | Write Your Note:
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My Order For Today | If you've already paid at another site or are accepting a promotional offer, you will be able to skip the payment section later on.
*
1 Custom Personalized Astrology / Numerology Chart
Subscription of 6 Monthly Charts (new design each month)
Subscription of 3 Monthly Charts (new design each month)
Subscription of 12 Monthly Charts (new design each month)
I'd like to receive some of my subscription charts together at once rather than monthly. (please contact Heather to discuss)
Matching Order Add-Ons:
Add-On Mini Report (summarized details) (additional fee)
Add-On Slideshow Report (breakdown w/ images) (additional fee)
Add-On Full Report (multi-paged & highly detailed) (additional fee)
Add-On Video Report (breakdown w/ images) (additional fee)
Add-On Printed Merchandise (mugs, t-shirts, framed prints, etc.) (additional fee --- contact to request estimates)
Add-On For Printed Merchandise / Gifts / Projects
I am requesting information and estimates.
View current details and fees.
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Chart Aspects
What would you like included on your chart? | Multiple Choices Welcome
Include On Chart | Keep Dimensions & Screen Size In Mind:
Western / Tropical Astrology (most popular & most recognized in North America)
Vedic / Sidereal Astrology
Chinese Astrology Sign
Native North American Astrology Sign
Mayan Astrology Sign
Aztec Astrology Sign
Celtic Tree, Astrology
Norse Rune, Astrology
Birthstones
Numerology
Birth Flowers
Other (specify special requests below)
Other: (specify request for other type of astrology or birth-related detail)
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File Type Preference
Select (1) One Option | What is your preferred file type you wish delivered?
* Please Note: if no selection is made here, you may receive whichever option Heather feels makes sense by default.
PDF (best for printing out on regular printer paper; or for reports read on larger screens)
PNG (best as a wallpaper image for any screen size)
JPG (usable as a wallpaper image on smaller screen sizes)
Chart Dimensions
Select (1) One Option This Section | What are your preferred dimensions for your chart?
Dimensions -- SIMPLEST OPTION | DEFAULT OPTION (if no other option is selected)
Keep It Simple. Just create a pdf chart / report for me that can be printed off on regular 8.5 X 11 (portrait) computer paper or read on my device.
Instead, I'd Love You To Create My Chart / Report In My PREFERRED DIMENSIONS:
for LAPTOP / DESKTOP / TV wallpaper size (landscape)
for PRINTER size 11 X 8.5 inch (landscape, sideways)
for PHONE SCREEN wallpaper size (portrait)
for PHONE SCREEN wallpaper size (landscape)
for TABLET SCREEN wallpaper size (portrait)
for TABLET SCREEN wallpaper size (landscape)
for PHOTO PRINTING & FRAMING size 9 X 12 inch (portrait)
for PHOTO PRINTING & FRAMING size 9 X 12 inch (landscape)
for PHOTO PRINTING & FRAMING size 8 X 10 inch (portrait)
for PHOTO PRINTING & FRAMING size 8 X 10 inch (landscape)
for PHOTO PRINTING & FRAMING size 4 X 6 inch (portrait)
for PHOTO PRINTING & FRAMING size 4 X 6 inch (landscape)
Other (specify below) ( for custom t-shirts, gifts, social media, etc.)
Other Dimensions (specify):
Specify other dimensions size / other details for printing, social media, etc.
Device Brand / Model For Wallpaper Screen Sizing (if selected) (if known)
SUBCRIPTION DIMENSIONS
I've selected multiple options above because I'm placing a SUBSCRIPTION order and would like multiple sizes and / or file types.
SUBSCRIPTIONS ONLY: These are how many charts of each size and file type I would like. (specify)
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Chart Design
Enjoy making your custom-styled aesthetic selections.
Today I'm Submitting:
I'm ordering one (1) chart. All of my custom selections will be on this form.
I'm placing a subscription order but am just submitting this one (1) form. Please feel free to create each of my custom chart designs based on any of my selections here.
I'll be submitting multiple forms so that each chart in my subscription order can be created with different colours and / or styles. I will only be charged once for my full order regardless of how many forms I submit with it. (Contact Heather if requiring multiple forms.)
Or...
I've previously ordered my chart... today I'm just ordering a report that matches its design. --- skip next page of design selections
Requests
In addition... I'm interested in a special project for a print job (birthday gift, lifestyle merch) and am requesting info and contact for discussion. I'll leave my questions below.
In addition... I'm interested in collaborating on a project (business) and am requesting info and contact for discussion. I'll leave my questions below.
Design | The Fun Stuff
YOUR STARS, YOUR STYLE ! | How would you like your chart / report to look? A custom design will be created for you and delivered within days.
Colours / Styles / Patterns: SIMPLEST OPTIONS
Keep The Process Simple... I'd love for you to pick the colours and style for me and to make it attractive. I'm open.
I'd prefer just plain Black & White, no background (uses less ink when printing)
Instead, I'd Love You To Create A Chart With My FAVOURITE Colours:
Black
Pink
Turquoise / Teal
Grey
Salmon / Coral
Blue
White
Orange
Indigo
Brown
Yellow
Purple
Beige
Chartreuse
Fuschia
Red
Green
Rainbow
Other (specify below)
Specific Hex #(s) (specify below)
I'd Love You To Use This Type Of Colour Strength:
Monochromatic
Muted, Barely-There
Pastels
Jewel Tones
Neons
Metallics (will print off metallic-look; no foil)
I'd Love You To Include My Favourite Texture(s) / Pattern(s):
Floral
Paisley
Foliage
Camo
Textiles / Weaves
Pebbles
Stone / Veining
Animal Print (specify)
Geometric
Abstract
Stripes
Solid Colour, No Texture
Polka Dots
Soft Texture
Other (specify below)
Bold Texture
Ombre / Gradient
I'd Love You To Include My Favourite Themes / Moods / Worlds:
Zen
New Age
Boho
Country Life
Steampunk
Futuristic
Industrial
Waterworlds
Beach / Island
Classicism
Identity / Cultural (specify below)
Space
Weather (specify below)
Cute / Kawaii
Comic Strip / Block
Baby
Kids
Other (specify below)
I have a photo or some artwork I would like incorporated into the design (not required):
Yes, I will forward Heather a high quality png or jpg --- lighworker333@nexicom.net
Other | Design Requests or Questions: (specify)
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Any Additional Information About Your Order? (provide any further details, requests)
Savings Code fields on next page.
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Payment & Promotions
Current Promotion? Enter Savings Code # 1
Current Promotion? Enter a second Savings Code
Already Paid / Free Promotional Offer | Skip The PayPal Section
I have already paid and received a verifiable receipt --- Light-Worker --- Auntie Heather's Ko-fi Shop --- E-transfer
I've already received a free promotional offer and verifiable confirmation --- Light-Worker --- Auntie Heather's Ko-fi Shop
Payment For Today:
I will be paying with PayPal, debit, or credit card on the next page today
I have already paid for a chart previously and received a receipt. Today I'm paying for 'Add-Ons'
E-Transfers & Gift Cards | Skip The PayPal Section
I'm paying via e-transfer to lightworker333@nexicom.net within 24 hours of submitting this form. I will forward a decent password to her and receive a receipt. Work on my chart or report will commence once payment has been verified. --- lightworker333@nexicom.net
I have a gift card from 'Light-Worker Psychic Readings & Energy Healing' to pay for part or all of my order and will contact Heather to use it. Work will commence once the gift card has been verified. Options for any remaining total will be arranged with Heather and I'll receive a receipt. --- 705-745-8815 --- lightworker333@nexicom.net
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--- SKIPPING PAYPAL ? ---
Scroll & 'SUBMIT' with the GREEN button. Thanks for your order.
PAYMENTS ONLY with: PayPal, Debit, & Credit Cards --- otherwise skip to the green 'Submit' button
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( X )
Personalized Birth Chart $60
1 Birth Chart. Tax incl.
$
60.00
CAD
3 Month Personalized Birth Charts Subscription, 1 Payment $150
Delivered 1 per month for 3 months, each chart a unique design. Tax incl.
$
150.00
CAD
6 Month Personalized Birth Charts Subscription, 1 Payment $295
Delivered 1 per month for 6 months, each chart a unique design. $Tax incl.
$
295.00
CAD
12 Month Personalized Birth Charts Subscription, 1 Payment $580
Delivered 1 per month for 12 months, each chart a unique design. Tax incl.
$
580.00
CAD
Mini Report Add-On $25
1 delivered, matches 1 chart. Summarized details. Only WITH PURCHASE of birth chart. Tax incl.
$
25.00
CAD
Full Report Add-On $100
1 delivered, matches 1 chart. Multi-paged, highly detailed. Only WITH PURCHASE of birth chart. Tax incl.
$
100.00
CAD
Slideshow Report Add-On $200
1 delivered, matches 1 chart. Breakdown w/ images. Only WITH PURCHASE of birth chart. Tax. incl.
$
200.00
CAD
Video Report Add-On $250
1 delivered, matches 1 chart. Breakdown w/ images. Only WITH PURCHASE of birth chart. Tax incl.
$
250.00
CAD
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