 |
ORDER FORM |
ORDER FORM
NO INTERPRETATION INCLUDED WITH THE CHARTS BELOW
INTERPRETATIONS WITH COMPUTERIZED REPORTS described above
All orders must contain the following information:
Name: __________________________________________________
Address: ____________________________________________________
City/Zip/Country: ____________________________________________________
Email address: ___________________________________
Fax No (if you have, for single charts)________________
Date of Birth: ____________________
Time of Birth*: _________________ Exact, if not see below*
Place of Birth:_____________________
*If you do not have an exact time of birth, please state below all your names as inscribed on your birth certificates. I will go to your Akashic records to find out. ADD AN EXTRA $10.00 .
** For Numerology, we need your FULL name at birth: _____________________________________
Current name (you like)_________________________________________________
Your date of Birth _______________________
$5 off if you order more than one report. Add $2 for shipping.
Grand TOTAL of your order US$................
Include either a: ... Check or ...... Money Order made out to: "Internewsletter"
* 1063 National Press Bldg * Washington, D.C. 20045 - USA *
Http://www.4dshift.com
Is there somebody I can talk to so that I can ask questions about certain products?
Yes we are available at 703-847-6147. We have answering machines in case we can't answer the phones. Leave a message and we'll get back to you.