Birth Data for Readings Birth Data Fill in one form for each person or entity to be charted. Email* PhoneWhat reading/service are you purchasing*Seize the Right Day (single or bundle)Discover Your True Self (Birth Chart)Planning Ahead Annual ForecastStarter Bundle Birth Chart & Annual ForecastProspects for RomanceYour Relationship Roadmap Compatibility AnalysisBaby's First ReadingYour Career (and Calling) CompassYour Travel Relocation HorizonPractical Answers for Your Pressing QuestionsRetracing Your Footsteps (Birth Time Finder)Star Party - Astrologically Themed Get-TogetherGift CertificateName (as it should appear on charts): First, Last (middle name or initial optional)(This does not have to be the birth name.)2nd Name (as it should appear on charts): First, Last (middle name or initial optional)(This does not have to be the birth name.)Optional 3rd Name (as it should appear on charts): First, Last (middle name or initial optional)(This does not have to be the birth name.)Date of Birth Month, day and year of birth (mm/dd/yyyy)2nd Person Date of Birth Month, day and year of birth (mm/dd/yyyy)Optional 3rd Person Date of Birth Month, day and year of birth (mm/dd/yyyy)Time of Birth : HH MM AM PM It is best to use an exact time of birth, preferably from an official record. If the birth time is unknown, leave this field blank. Sunrise will be used unless there is another suggested time frame in the Time Comments field below.2nd Person Time of Birth : HH MM AM PM It is best to use an exact time of birth, preferably from an official record. If the birth time is unknown, leave this field blank. Sunrise will be used unless there is another suggested time frame in the Time Comments field below.Optional 3rd Person Time of Birth : HH MM AM PM It is best to use an exact time of birth, preferably from an official record. If the birth time is unknown, leave this field blank. Sunrise will be used unless there is another suggested time frame in the Time Comments field below.Time CommentsIf the time is not known to the exact minute, describe here if the time supplied is a best guess or supply a potential range.2nd Person Time CommentsIf the time is not known to the exact minute, describe here if the time supplied is a best guess or supply a potential range.Optional 3rd Person Time CommentsIf the time is not known to the exact minute, describe here if the time supplied is a best guess or supply a potential range.Place of BirthCity, County (if known), State or Nation (if not USA)2nd Person Place of BirthCity, County (if known), State or Nation (if not USA)Optional 3rd Person Place of BirthCity, County (if known), State or Nation (if not USA)Goal or Special Request for the ConsultationWhat the consultation should be sure to address, specific questions or situations to examine.Other CommentsAnything else your astrologer should know before contacting you to set up an appointmentNameThis field is for validation purposes and should be left unchanged.
