Birth Information Page
Thank you for your payment. Your transaction has been completed, and a receipt for your purchase has been emailed to you. You may log in to your account at https://www.paypal.com/ to view details of this transaction. Please email me the following information at firstname.lastname@example.org for each person receiving astrology reports.
Subject Line: Astrology Birth Information
Birth Date: Month Day Year (Please spell out the month, i.e., Jan, Feb, Mar.,etc)
Birth Time: a.m. or p.m.
State or Country
City & State, Country where presently resides: