SHIRONNA Astrology Report Order Form 

Prices are in Canadian Dollars and no taxes are added. Secure online VISA payment. Every order includes postage and handling (within Canada) and a free astrological chart.  International orders have an additional $10.00 charge for postage and handling (added to total order not individual items). Mail orders will be confirmed by e-mail within 2 working days. Online credit card orders will receive an immediate receipt.

 Select any of the following printed reports: (All prices shown in CANADIAN $.)
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ASTRO*CARTO*GRAPHY EXPLAINED   one location $13.00    three locations $27.00 
The SKY WITHIN   $19.00  
SKYLOG    3 month forecast $20.00      one year forecast $50.00
   6 month forecast $30.00

    two year forecast $85.00

RELATING   $15.00 
ASTRO TALK   $30.00
TIME LINE    3 month forecast $20.00    one year  $50.00
   6 month forecast $30.00   two year  $85.00
CHILD*STAR   $30.00
FRIENDS & LOVERS    $19.00  

 

Chart #1 Information

First Name
Last Name
Date of Birth mm/dd/yyyy
Sex Male Female

Birth Time : Please use the exact birth time for a more accurate reading.

-- hh:mm am/pm
Birth Place (city, with province or state):

If you picked the ASTRO*CARTO*GRAPHY EXPLAINED Report, please list your location(s) and the year you would like it to cover (example: Toronto 2001)

1.
2.
3.

Chart #2 Information (If you choose the Friends and Lovers report)

First Name
Last Name
Date of Birth mm/dd/yyyy
Sex Male Female

Birth Time : Please use the exact birth time for a more accurate reading.

-- hh:mm am/pm
Birth Place (city, with province or state):

 

Please provide the following contact information:

Name
Street Address
Address (cont.)
City
Province/State         Country 
Postal/Zip Code  
Home Phone *please double check your phone number
E-mail *please double check your email address
I would like my reports sent by email.
Please provide the following payment information - whether credit card, cheque or money order and then submit your birth data by clicking on the Submit Form button below.

 All orders outside Canada add $10.00 (does not apply to email orders).

Your total is: $ Canadian Dollars. 

For a credit card (VISA) purchase through our secure server, .

OR

Print this form out, and send it with your payment by cheque or money order to: 

Shironna Midnight Sun, L.P.O. Box 70026, Edmonton, Ab. T5C 3R6

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Copyright © 2000-2003 Shironna.com / Midnight Sun Chart Service. All rights reserved.
Revised: November 23, 2003