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Please do not send this form, Cynthia is not currently taking orders through the web. Thank you! |
All fields must be completed for the form to work, thank you.
| First Name | |
| Last Name | |
| Date of Birth | |
| Time of Birth | |
| AM or PM ? | |
| City | |
| Hospital* | |
| State/Province | |
| Country | |
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| *A hospital's physical location can provide greater accuracy for calculations than a city or town, increasing the charts personal relevancy. In the event that an exact match on the hospital is not found in our atlas, the city field will be used. |
Form © Copyright 1998-2004 Cynthia Anderson.
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To order, please fill out this form, click "Submit " and your chart information will sent to us, then a page will open with a "pay now" button to pay by credit card or Paypal. Total Price: $35.00 (US Dollars) per
chart. Very
Important:
Privacy policy:
Note: If time of birth is not used, your chart's accuracy and volume will be somewhat reduced.
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All material © Copyright 1998-2008 Cynthia Anderson. All Rights Reserved.