Horoscope Order Form
(Please print. Items in all CAPS are required.)

NAME:________________________________TELEPHONE:________________________

EMAIL ADDRESS:_____________________________Fax:________________________

PAYMENT METHOD:(Circle One) Mastercard - Visa - American Express - Discover - Check

CREDIT CARD NUMBER:______________________________EXPIRES:_____/______

SIGNATURE________________________________________DATE:_______________
        We require the following:
NAME AS APPEARS ON CARD:_____________________________________________
      BILLING ADDRESS 1:_____________________________________________
      MAILING ADDRESS 2:_____________________________________________(Required)
CITY:______________________STATE:_________ZIP/POSTAL CODE:__________

Select the information you desire.

Item                           Price         Quantity       Total

Natal Wheel                    $ 5.95          _____       _________
Astrotalk                      $35.00          _____       _________
Timeline - six months          $35.00          _____       _________
Timeline - one year            $60.00          _____       _________
Friends Compatibility          $21.95          _____       _________
Romance Compatibility          $21.95          _____       _________

Texas residents add 8.25% sales tax                        _________
Shipping and Handling by Postal Service (Optional $5.00)   _________
     (E-mail no S&H charge)              Grand Total       _________

Allow two to four weeks for delivery.
All prices are US dollars.

The following information is required to calculate your requested document.

Birth Name:_________________________________Date of Birth:___________
Place of Birth:_____________________________Time of Birth:___________Time Zone:__________
Place of Birth needs to be city, state, and country.         AM___PM___

The following information is needed to calculate a friendship, business or romance compatibility. Please provide information on the desired person with whom you want a compatibility chart.

Birth Name:_________________________________Date of Birth:___________
Place of Birth:_____________________________Time of Birth:___________Time Zone:__________
Place of Birth needs to be city, state, and country.         AM___PM___
Print this form. Sign and mail it to:
C&D Byrd Enterprises, Inc.
P.O. Box 3459
Cedar Hill, Texas 75106-3459
or sign and fax it to:
888.371.3736
The Company:
C&D Byrd Enterprises, Inc.
Cedar Hill, Texas
469.575.9000