Submit Birth Data

Fill out this form in full to submit your birth data for a personal horoscope reading and to reserve your appointment time. A confirmation email will be sent separately. If purchasing a horoscope reading or paid subscription as a gift, enter your first and last name as the “Gift Code”. Your appointment, gift or paid subscription is not finalised until full payment is received. Visit our Purchase page for information about payment for our services. Please read our agreement of services.

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

    Here is the information you need for my astrology appointment:







    Gender assigned at birth


    FOR PERSONAL HOROSCOPE READINGS BY APPOINTMENT ONLY
    CHOOSE A READING
    All of these readings are conducted via private Zoom meeting except questions for AstrologyTV.

    CHOOSE A TIME PERIOD (for personal appointments only)

    FOR MONTHLY PERSONAL FORECAST PAID SUBSCRIPTION ONLY
    CHOOSE A SUBSCRIPTION

    Choose One Format Below

    Note By Appointment is live via Zoom. Audio or Video are pre-recorded.

    Date of Birth
    Month

    Day

    Year


    Enter Birth Time



    Enter Birth Place


    FOR PERSONAL HOROSCOPE READINGS or TRANSIT FORECASTS
    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
    or leave blank
    Referred By
    or how did you find us?

    Add me to your referral program & bi-monthly email (For special offers and discounts)


    Add a Question below (optional)


    After submitting this form, please check your inbox, or spam/junk folder for our confirmation email. A separate email will be sent to confirm your appointment day/time (Eastern Time) if purchasing a horoscope reading, or a gift certificate or paid subscription. After payment is received another confirmation will be sent to complete your purchase. Questions for AstrologyTV are answered only during our live show.

    Note you must submit your birth data first before sending any payment; gifts, appointments and subscriptions are not confirmed until payment is received. Please read our Agreement of Services before purchasing any seminar, subscription, horoscope reading, appointment or gift certificate.

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