Order Form - Richard-Michael's Sedona Readings

$Personal horoscopes and numerology from Sedona\$

	Richard-Michael's Sedona Readings Order Form

* indicates a required section or field

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.

Order Information *

Please send me:

Prices include all taxes
and shipping costs.

Total: $

Birth Chart Horoscope ($99)
Vortex Numerology Chart^TM ($99)
Points-of-Power Numerology Chart ($44)
Soulmate Charting ($44)

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:

Male Female

Birth Date:

mm/dd/yyyy

Birth time and place are needed to cast the Birth Chart Horoscope:

Birth Time:

hh:mm AM PM

Birth Place:

(please include city, state or province, and country if not USA)

Information for Soulmate Charts

Fill in these fields only for Soulmate Chart orders

Your Name:

Gender:

Male Female

Your Date of Birth:

mm/dd/yyyy

Other Person's Name:

Gender:

Male Female

Date of Birth:

mm/dd/yyyy

Relationship:

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

Recording Format:

Audio CD-ROM (Compact Disc)

Shipping Information *

First Name: *

Last Name: *

Address: *

Address Line 2:

City: *

State/Province: *

Zip/Postal Code: *

E-Mail Address: *

Please send any questions via e-mail to:
or call: 702.292.3622