Request form for Horary or Question Charts

Please enter all requested information below, when you have finished please press the submit button at the bottom of the page.  If you change your mind or do not have the required information, please press the back button   button to return to the previous page  

 

Choose the kind of question (select one)  

Name :

Briefly enter your question and note any events that may have prompted it giving dates if you recall them. 

     

If you wish to furnish more detailed information, have further questions, or have an immediate need, please contact us. 

E-mail : leroseblanche@earthlink.net

 Phone : (937) 237 5020 (voice mail)

While we will make every effort to furnish a speedy and accurate analysis, please allow 7-10 business days for our response.    

If this is a question, skip the date and time information or give the date and time of the event that prompted it. 

Date, Time, and Location

Date:   day month year ( 1995-2020)

Time:    hourminute second (if known) 

Morning or afternoon :   Your time zone

Place (including the name, state or province, and nation state)

Please furnish an e-mail address for notification and receipt of reports.

Your e-mail address :

Review for accuracy, then press submit   After sending your information, please allow a few days for us to prepare.  When the report is ready, we will notify you via e-mail.   Please return to this screen to make remittance..   

Our fee for this service is $75.00 US 

Please use PayPal to remit on receipt of your report. 

We also accept payment by check or money order.   

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