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Richard-Michael's Sedona Readings Order Form |
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* indicates a required section or field |
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To order charts and readings from Richard-Michael at Sedona Readings please fill out
the form below. When you are ready, click the Review Order button at the bottom to review and finalize
your order using PayPal. If you prefer, you may print out this page after you fill it out (or write the equivalent information
on a sheet of paper) and mail it with your check or money order to:
Richard-Michael
P.O. Box 21330
Sedona, Arizona 86341-1330
Please use a separate form for each person.
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Order Information * |
Please send me:
Prices include all taxes and shipping costs.
Total: $
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Information to Cast Chart |
| Fill in this section when ordering these products: Birth Chart Horoscope, Points-of-Power Blueprint Numerology Chart and Vortex Numerology Chart |
Birth Name: | (birth certificate full name - first/middle/last) |
Gender: |
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Birth Date: | mm/dd/yyyy |
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| Birth time and place are needed to cast the Birth Chart Horoscope: |
Birth Time: |
hh:mm
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Birth Place: | (please include city, state or province, and country if not USA) |
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Information for Soulmate Charts |
| Fill in these fields only for Soulmate Chart orders |
Your Name: | |
Gender: |
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Your Date of Birth: | mm/dd/yyyy |
Other Person's Name: | |
Gender: |
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Date of Birth: | mm/dd/yyyy |
Relationship: |
(friend, spouse, lover, relative, co-worker, etc.) |
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Recording Format: | Audio CD-ROM (Compact Disc) |
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Shipping Information * |
First Name: * | |
Last Name: * | |
Address: * | |
Address Line 2: | |
City: * | |
State/Province: * | |
Zip/Postal Code: * | |
E-Mail Address: * | |
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Please send any questions via e-mail to:
or call: 702.292.3622
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