Your name:___________________________
Mail the form to:
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"BIRTH-A-SCOPE" Natal Horoscope Order Form
The BIRTH-A-SCOPE was created in 1986 by artist Shara Crawford.
Each Chart will be $14.95 plus tax and $2.00 S&H fee
Fill out the form with the following information:
1. Full Name at birth_______________________________
2. Date of Birth___________________________________
3. Day of Week_________________________ (if Known)
4. Place of Birth__________________________
5. Time of Birth________________________(if known)
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