ASTRO-TAROT PREPAY FORM

The 1st Step: Submit General Info
(supplied information will remain confidential)
Astro-Tarot Live Reading

After you submit the data in the form below, you will see a confirmation page with PayPal buttons.*
Just click a button of your choice to complete your order.
NOTE:*No membership is required to use the PayPal system. If you are not a member, simply ignore the login box on the secure server page andclick the link just below it (if you don't have a PayPal account...) fill in the customary credit card info.

You will receive a personal response within a day confirming your payment and we can begin arranging a suitable contact time via telephone.

GENERAL INFO

EMAIL*:
PHONE#*:

YOUR BIRTH DATA
REPLACE EXAMPLE TEXT WITH YOUR INFO

YOUR NAME:
YOUR BIRTH DATE: YOUR BIRTH TIME(approx.):
YOUR BIRTH PLACE:

OPTIONAL COMMENTS & QUESTIONS
You may add any additional comments, questions and info about your situation
in the text box provided below. The Text Box works like a normal word processor.
You can copy, paste, use the Delete key or the Backspace key, the arrow keys etc.



* PLEASE DOUBLE CHECK all your entries for accuracy.
When you are satisfied, you may press Submit

Thank you.

                            

NOTE: If you click the CLEAR button, all of your entries in the entire form will be deleted.


Copyright © 1999-2018 John J. Falone, All Rights Reserved