Time of Birth

INTUITIVE RESEARCH

Time of Birth Request for you to print, fill out, and return to us

Time of birth reports relate the exact time of the souls entry into this physical form, information invaluable in constructing an accurate astrological profile.

Name ____________________________________________________________________
(Please type/print as on birth certificate. Females who have married use most recent husband's last name).
Address __________________________________________________________________
(Street number and name or Route/Box number)

___________________________________________________________________
City / State / Postal Code / Country
Phone Number ________________________________________________

Complete physical address of birth place ______________________________________________________________

Date of Birth _______________________

Signature (of person requesting reading) _________________________________________________

Requested minimum donation for this type of Intuitive Report is $20. Your generosity is greatly appreciated for it enables us to further our work. One hundred percent of monies received are used for expansion of SOM teachings and research.

Form of Payment (circle one): Check/Money Order (payable to School of Metaphysics) Visa Mastercard Discover

Amount Enclosed: __________________________________

Visa/MC Number: ______________________________________________ Expiration Date: ______________________

Signature of Cardholder: ____________________________________________________

Please send completed form with indicated form of payment to:

School of Metaphysics
World Headquarters
163 Moon Valley Road
Windyville, Missouri 65783
USA

*International orders please add $15.00 for return priority mail.
(please do not write in this box)

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