Reading order form

Thank you for providing this information which will help me to prepare for our session together. Please fill out as many fields as possible - the fields marked with an asterisk are required. There is lots of room for you to include as much or as little detail as you like.

First and last name*

Email address*

Birth date in US format (month/date/year format please)*

Date

Important: If you know or can find an exact time of birth it will help us to be more exact and detailed in the consultation. Here is some information about obtaining a birth certificate if you don't have one.

Not all birth certificates show the time of birth. You may have to rely on the memory of a relative, and there may be no way to obtain the birth time.

Please be sure to let me know if the time you provide is exact or a rough guess - if it is a guess or estimate I may need do some additional work to try to pinpoint a time more closely.

Time if known (be sure to include AM or PM)

Source of time (birth certificate, memory etc.)

Place of birth (City, State, Country and County)*

If you don't know your birthtime, list any details about birth that will help me to fine tune the chart, i.e., before breakfast etc.

Any details or background,, or questions you would like to discuss (give as much or as little information as you would like)

Please provide dates that are relevant to your question or issues, such as when a problem began or reached a crisis point

If you have paid for a relationship reading, please provide the name and birth data for additional charts as well as (1) date you met, (2) date relationship began if different, (3) dates of any problems or issues or any concerns

If you have not paid for a relationship reading but would like to discuss another person during your session please enter their name and birth data here.

Current location (city and state/country)

If this is a birthday reading, please provide the town where you plan to spend your birthday

Have you had a reading with me before?

Have you had other astrology readings?

Approximately when was your last reading?

Just curious - how did you hear about me?

What is your level of comfort with astrological terminology?

I don't care about the planets, just give me the informationI don't know anything about astrology but want to learnI know some of the language but don't really understand it. I know my Sun, Moon and Ascendant (rising sign) but not much else.I'm not a pro, but well-versed in the language. I know my Sun, Moon and Ascendant and the aspects in my chart.I'm a pro, get as technical as you want.

Read the fine print*

I understand that sometimes technology fails and in the event I am unable to receive a sound file of the session 20% of the cost will be refunded to me.Please be settled when our reading begins - I'm unable to give a good reading if a client is driving or walking or otherwise distracted. Thanks for understanding!!

Did you read the fine print?

Yes

Please indicate your preference for our meeting.

Long distance sessions can be done Zoom, Skype or telephone, all of which I can easily record. Facetime is not an option unless you record the session yourself.

If you select a telephone meeting, I will call you for the session.

If you live in North Carolina or are visiting I can meet with you in my home office for a small additional fee.

How do I contact you for the session?*

Zoom chatTelephone(additional $25) My home office outside of Chapel Hill NC

Phone Number*

Area CodePhone Number

Can I text this number for emergencies?*

What is your time zone?*

Anything else you would like me to know?

I will add you to my mailing list for my weekly forecasts and monthly newsletter unless you opt out here. (If you don't like it it's easy to unsubscribe.)

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