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 astrostarcharts@astrostarcharts.com for each person receiving astrology reports.

Subject Line: Astrology Birth Information

Person’s name:
Sex:
Birth Date: Month            Day           Year  (Please spell out the month, i.e., Jan, Feb, Mar.,etc)
Birth Time:        a.m. or p.m.
Birth Place:
City:
County:
State or Country
City & State, Country  where presently resides: