John Green D. Psych. Astrol
154 Princess Park Manor,

Royal Drive,
London N11 3FQ.
United Kingdom.

 

Psychological Astrology Order Form

 

Natal Report
(Code: NR) £18
Forecast Report
(Code: FR) £22
Forecast & Natal Report
(Code:FNR) £34
Child Report
(Code: CR) £18
Relationship Report
(Code: RR) £24

 

 

Time of Birth
To prepare a consultation or report the time of birth must be known to within one hour.
Please give the local time of birth i.e. the time on the clock. If you were born
‘ around Midnight’, please make it clear if it was at the start or the end of the day.


Name:__________________________________________________________________

Address:________________________________________________________________

Postcode:_______________________________________________________________

Telephone:______________________________________________________________

Email Address:___________________________________________________________

All prices include UK postage and packing. Please use block capitals on form.

Name
Sex
M/F
Birth Date
Day/Month/Year
Birth Time
Hours/Min
Place of Birth
Country
of Birth
Report
Code
Price
     
AM/PM
       
     
AM/PM
       
     
AM/PM
       
     
AM/PM
       

 

 

 


Total: £__________

Please make cheques and postal orders payable to John Green and send to address above.
All cheques must be payable in pounds sterling only.