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Your Name & Contact
* Please check your email 'Promotions' and 'Spam' folders once you've submitted this form if you don't see replies in your usual inbox.
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.
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Details To Go On Chart
If this is for a gift, please use the details of the recipient rather than yourself.
Full Name At Birth: (correct spelling)
*
First Name
Middle Names
Last Name
Full Current Name: (correct spelling)
*
First Name
Middle Names
Last Name
Date Of Birth: (correct details) (month, day, year, and time if available)
*
Location Born: (correct location) (city, province, country)
*
Today's Order: (scroll website widget below for details & current fees --- also listed at check-out and the platform you were directed from)
*
1 Custom Personalized Astrology / Numerology Chart
Subscription of 3 Monthly Charts (new design each month)
Subscription of 6 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: (scroll website widget below for details & current additional fees --- also listed at check-out and the platform you were directed from)
Add-On Mini Report (summarized details) (additional fee)
Add-On Full Report (multi-paged & highly detailed) (additional fee)
Add-On Slideshow Report (breakdown w/ images) (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)
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Chart Aspects
What would you like included on your chart? See website FAQ for details.
Include On Chart:
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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Chart Dimensions
Select 1 option per # of charts you are ordering today. Example: if you are ordering 1 single chart, make just one selection. If you prefer to skip this page you will automatically receive '8.5 X 11 inch portrait' (regular-sized computer paper) by default. FOR SUBSCRIPTIONS and further clarification: please specify how many per dimension in the space below. Example: "I would like 2 designs for my phone and 1 design for my laptop".
Dimensions -- Printing Options, Please Note: all files are emailed. You are welcome to take digital files to professional printers or print off at home. For DEVICE OPTIONS... see next section.
9 X 12 inch, portrait
9 X 12 inch, landscape
8.5 X 11 inch, portrait (reg. printer paper)
8.5 X 11 inch, landscape
8 X 10 inch, portrait
8 X 10 inch, landscape
4 X 6 inch, portrait
4 X 6 inch, landscape
Other (specify below) ( for custom t-shirts, gifts, social media, etc.)
Print Dimensions, Other:
Specify other print size / other details for printing.
Dimensions -- Devices: (digital wallpaper sizes)
Phone, portrait
Tablet, portrait
Phone, landscape
Tablet, landscape
Laptop, Desktop, Smart TV
Device Brand / Model (if known) (for sizing)
Devices, Additional Details: (if needed):
Subscriptions Only: How many charts per print job / device? ----- For example, if you have ordered a 3-month subscription, perhaps list 2 X phone wallpapers in portrait, and 1 X laptop wallpaper.
Format Preference: * 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 desktops / laptops / tablets)
JPG (usable as an image on a smaller screen, such as phone or tablet wallpaper)
PNG (best as an image for any screen size)
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Chart Design
Enjoy making your custom-styled aesthetic selections.
# Of Order Forms 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.)
I've previously ordered my chart and today I'm ordering a report that matches its design. --- skip next pages of design selections
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
In addition... I'm interested in collaborating on a project (business) and am requesting info and contact for discussion
I have a photo or some artwork I would like incorporated into the design (not required):
Yes, I will forward Heather a high quality jpg or png.
Favourite Colours: (or skip if you're open to any colours)
Black
Pink
Turquoise / Teal
Grey
Salmon / Coral
Blue
White
Orange
Indigo
Brown
Yellow
Purple
Beige
Chartreuse
Fuschia
Red
Green
Rainbow
Colour Strength / Style: (or skip if you're open to any)
Monochromatic
Muted, Barely-There
Pastels
Jewel Tones
Neons
Metallics (will print off metallic-look; no foil)
Textures / Patterns: (or skip if you're open to any)
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
Themes / Moods / Worlds: (or skip if you're open to any)
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)
Other Theme(s) or Details: (specify)
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Additional Information About Your Order: (provide any further details, requests)
Savings Code fields on next page.
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Current Promotion? Enter Savings Code # 1
Current Promotion? Enter a second Savings Code
Payment For Today:
I have already paid and received a receipt -- skip the PayPal section
I have already paid for a chart and received a receipt, but am now paying for 'Add-Ons'
I will be paying with PayPal, debit, or credit card on the next page today
I'm paying with 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. -- skip the PayPal section
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. -- skip the PayPal section
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ONLY for: PayPal, Debit, & Credit Cards --- otherwise scroll 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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