frameable Natal Chart

Your name:___________________________
Address:______________________________
______________________________
Phone:______________________or Email: (optional)_____________________________

Mail the form to:
The Tchotchke Shop
4841 Merriam Drive
Overland Park, KS 66203

"BIRTH-A-SCOPE" Natal Horoscope
Order Form

The BIRTH-A-SCOPE was created in 1986 by artist Shara Crawford.
A mental health professional and a psychic at the Kansas City Renaissance Festival
(where she is known as "Arachne") she combines her expertise in both areas
to create this unique natal chart based on each person's
personal birth data.

Each Chart will be $14.95 plus tax and $2.00 S&H fee
The S&H fee is waived if you pay for and pick it up in person.
Printed on 8" X 10" card stock paper, the Birthascope looks best
in an 11" X 14" frame (not included) in order for it to have a nice border.
If you prefer, the size is just right to put in a baby or scrap book.

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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