Order Form - Richard-Michael's Sedona Readings

	Richard-Michael's Sedona Readings Order Form

To order charts and readings from Richard-Michael at Sedona Readings please fill out this form. Then print out this page (or write the equivalent information on a sheet of paper) and mail it with your check or money order to:

Richard-Michael
45 Roca Roja Road
Sedona, AZ 86351

Phone: 928-284-4458

Please use a separate form for each person.

Order Information

Please send me:

Prices include all taxes and shipping costs.

Total: $

Horoscope I Chart $99
Horoscope II Chart $99
Both Horoscope I and II Charts $175
Time Path Chart $44
Vortex Numerology Chart^TM $99
Soulmate Chart $33
Correspondence Course $22/installment

Information to Cast Chart

Birth Name:

Male Female

Nickname:

(optional)

Birth Date:

mm/dd/yyyy

Birth Time:

hh:mm AM PM (exact time required)

Birth Place:

(please include city, state or province, and country)

For Soulmate Chart orders, fill in this section about the person of your choice:

Person's name:

Male Female

Date of birth:

Relationship:

(friend, spouse, lover, relative, co-worker, etc.)

Shipping Information

Name:

Address:

City:

State/Province:

Zip/Postal Code:

E-Mail Address:

Please send any questions via e-mail to: