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. Your appointment or paid subscription is not finalised until full payment is received. Visit our Purchase page for payment of all services. Please read our agreement of services.

*All 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

    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. After payment is received another confirmation will be sent. Questions for AstrologyTV are answered only during our live show.

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

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