Astrology of the Soul

please complete in block letters and send with your payment to
P.O.Box  3527, Becancour,  Quebec  G9H 4T1 Canada
Name:                                                 Gender: F*M*

Date of birth

Place of birth

Please select
Year     **** City: * CD
Month   ** Province or state: * Audio cassette
Day      ** Country:
*    *    Phone reading
       (your charge)  Day and time
          to be scheduled by e-mail
          (CD or audio cassette included )
Precise birthtime: __________  am * pm *(very important)
*North node 60$      *Annual transits 60$  *Natal chart 120$
Paper document only: *Summary gift 80$   *Summary gift for children 60$
*Relocation 60$:  Please write down three places you wish to see printed
(specify town, country or state)
 
1.____________________     2._____________________     3. ___________________
 or * Please indicate the three best places for me.

Address of shipment

Last name: First name:                    
Address: Street:
Province: City:
Country (state): Postal code or zip code:
Phone number with area code:
E-mail address (important):

I enclose my payment of: ______ +  4.95$ (handling and shipping) to the order of Marie-Alice Allain

My payment will be: *Certified cheque  *Money order  (No personal cheque accepted)
Please allow a 3 week delay.

*Phone reading is the ideal option as it allows an interactive exchange.

P.S. Astrology is not clairvoyance but a tool for inner growth.  Please briefly write down a few lines describing your actual life context and how I can help you.  You can use the reverse side of this sheet.  Thank you.