SNAIL-MAIL ORDER FORM

Step 1: Fill Out Form Below & Submit.
Step 2: Mail Payment.
The supplied information will remain confidential.
Astro-Tarot Live Reading

OnLine Order Form To Pay By Check:

I accept Checks or Money Orders Drawn ONLY on US Banks. 
You will be notified when your check is received and arrangements will then be made for a mutually agreeable time for teltphone contact.

Remember To Mail in your payment: made payable to:

John J Falone
P.O. Box 2905
East Liverpool, OH 43920

Note: The information you submit is important and confidential.
Please make sure it is correct.

SHIPPING INFO & CHECK VERIFICATION

YOUR NAME*:
ADDRESS*:
APARTMENT#:
CITY*:
STATE*: ZIP*:
TELEPHONE*:
EMAIL*:
READING TIME *:
 CHECK AMOUNT*:


YOUR BIRTH DATA
REPLACE EXAMPLE TEXT WITH YOUR INFO

YOUR NAME:
YOUR BIRTH DATE: YOUR BIRTH TIME(approx.):
YOUR BIRTH PLACE:

COMMENTS & QUESTIONS
You may add any additional comments, questions and info about your situation
in the text box provided below. The Text Box works like a normal word processor.
You can copy, paste, use the Delete key or the Backspace key, the arrow keys etc.



* PLEASE DOUBLE CHECK all your entries for accuracy.
When you are satisfied, you may press Submit
Thank you.

                            

NOTE: IF YOU PRESS THE CLEAR BUTTON , ALL OF YOUR ENTRIES IN THE ENTIRE FORM WILL BE ERASED.