Image Of Shreem - The UniverseImage Of Shreem - The Universe Vedic Astrologer Pandit Parsai
Hindu Vedic Astrology



Horoscope Readings Order Form

When completing the Order Form, please note these points:

Written answer(s) to question(s) asked below
(Brief Horoscope is prepared for this purpose): $120 (US).
Correct birth time determination: Additional $40 (US) (optional).
If born South of Equator (Southern Hemisphere): Additional $60 (US)
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Order answer(s) to question(s) asked below*
Amount for answer(s) to question(s)*


Order Time Correction
Amount for Time Correction


Place of Birth South of Equator (Southern Hemisphere)
Amount for Place of Birth South of Equator


Total Amount*




  First Name*  
  Last Name*  
  Address*  
  City*  
  State*  
  Zip*  
  Country*  
  Phone  
  Fax  

 
For credit card orders we do not accept email addresses from freemail-services like hotmail.com.

Please also note that Time of Birth is in 24 hour format and NOT in AM/PM format.

  Email*  
  Date of Birth - Day*  
  Date of Birth - Month*  
  Date of Birth - Year*  
  Time of Birth - Hours*  
  Time of Birth - Minutes*  
  Is Time of Birth Day Light Saving Time?*  
  Place of Birth - City & State*  
  Place of Birth - Country*  
  Male / Female*  
 
The following information will help
Astrologer Pandit Parsai to verify the
correctness of the birth information:

 
  Education  
  Profession  
  Marital Status*  
  Number of Children - Son*  
  Number of Children - Daughter*  
  Father Living   Yes
No
  If Dead Date of Death  
  Mother Living   Yes
No
  If Dead Date of Death  
  Number of Siblings  
  Wearing Any Remedy  
 
Please give Significant Events in your
life with approximate date (month/year)
of the occurences of the event.

Give all four events if you
have ordered Time Correction
  Click for Examples of Significant Events
  Significant Event No 1*  
  Significant Event No 2  
  Significant Event No 3  
  Significant Event No 4  
 
State briefly questions you would like
Astrologer Pandit Parsai to answer:
 
IMPORTANT - PLEASE READ
Click for help on type of questions to ask.
  Question No 1*  
  Question No 2*  
  Question No 3  
  Question No 4  
  Question No 5  
  Credit Card Type*  
  Credit Card Number*  
  Card Verification Number:*  
  (On the back of your card,
locate the final 3 digit number)
  Click for help finding Card Verification Number
  Credit Card Expiration Date*  
  Credit Card Expiration Year*  
  Name as it appears on Credit Card*  
  Address to which Credit Card Statements
are sent (Include City, State and Zip)*
 

  By Checking Yes, I here by authorize
Innovision International Inc., to charge
my Credit Card with the correct Amount
for the above order(and shipping charges if applicable).*
 



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