Quarterly Subscription Form

Please fill out this quarterly subscription form in full to submit your birth data for your personalised horoscope subscription. A confirmation email with an invoice will be sent separately. Your subscription is not finalised until full payment is received. Thank you for your interest in our services. Have you reviewed our purchase information and agreement of services?

*All information is required. (Please submit a separate form for each person.)

    Please register my quarterly horoscope subscription:







    Gender Assigned at Birth


    CHOOSE 1 QUARTERLY HOROSCOPE SUBSCRIPTION (one option per person)


    Date of Birth
    Month

    Day

    Year


    Enter Birth Time



    Enter Birth Place


    QUARTERLY HOROSCOPE SUBSCRIPTIONS ARE BY APPOINTMENT ONLY (choose a date/time for first appt. only; subsequent appointments arranged by email)
    Preferred Appointment Date 1 (First choice)


    Choose Appointment Time (Eastern Time only)


    Preferred Appointment Date 2 (If first choice unavailable)


    Choose Appointment Time (Eastern Time only)


    Enter Gift Code (Leave blank if not a gift. Enter GIFT when purchasing a gift certificate. Enter the unique code when redeeming a gift certificate.)

    Referred By


    Add me to monthly newsletter & referral program (only subscribers are offered special discounts)


    Add a Question below (optional)


    After submitting this quarterly subscription form, please check your inbox, or spam/junk folder for our confirmation email. A separate email will be sent to confirm your monthly horoscope forecast and include the email address to use if paying by eTransfer. If paying via PayPal, visit our Purchase page and submit payment there. You will receive a receipt for your purchase and final confirmation of your registration and appointment time(s) after payment is received.

    Note: you must submit this form before sending any payment; subscriptions are not confirmed until payment is received. Please read our Agreement of Services before purchasing any subscription, appointment or gift certificate.

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