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 Thank you for choosing charts and reports
from Intuitive Visions, Inc.

To fulfill your order, we need a little information from you.
If ordering a Relationship or Friendship Chart, please fill out
the section below with their astrological information, in addition to your own.
Please fill out and submit this form for each chart you order in our store:

Type of Report Ordered:     
Your Full Name:
[First, Middle, Last]
Your Email Address:
This report is for the following person: Me
Another Person
If another person:
Their Full Name
[First, Middle, Last]
   
Birth Date:   Month
    Day    
    Year [yyyy]
Birth Time: Hour Minute  
If you do not know your birth time, 6 AM will be used.
Birth Location:   City 
    State or Province
    Country
   
I am ordering a Relationship or Friendship Chart: Yes
Relationship's Birth Date:   Month
    Day    
    Year [yyyy]
Relationship's Birth Time: Hour Minute  
If you do not know your birth time, 6 AM will be used.
Relationship's Birth Location:   City 
    State or Province
    Country

Thanks for your order!

                              

 

E-mail
Phone: 505-293-0833
Toll Free: 1-877-255-1051

Home About Cynthia Media Info Readings/Classes Products  Forecast