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Birth Information Intake
Birth Info Intake Form
Instructions for Inputting Birth Information for Astrology Reports, Including Compatibility and Relocation Charts:
1.
Enter your full name
: Please provide your complete first and last name.
2.
Date of birth:
Enter the exact date when you were born, including the month, day, and year (e.g., May 25, 1990).
3. *
Time of birth:
Provide the precise time when you were born. It is important to obtain this information from your birth certificate.
*Birth time is highly important!
The birth time plays a crucial role in astrology chart interpretation.
It allows for a precise calculation of each unique astrological chart. To ensure the utmost accuracy in your astrology chart interpretation,
it is
essential
to provide the most accurate birth time possible. If you're unsure of your exact birth time, or the birth time of another individual in context to compatibility, a chart rectification specialist may be in order prior to ordering reports like these.
Even a slight deviation in the birth time can result in significant differences in the chart interpretation.
4.
Place of birth:
Enter the city or town where you were born. Please also include the state or province and country.
5.
Compatibility Reports (optional):
If you are ordering compatibility reports, please provide the birth information of the person(s) you would like to compare your compatibility with. For each person, include their full name, date of birth, time of birth, and place of birth using the same format as mentioned above.
6.
Relocation Chart Reports (optional):
If you are ordering an
AstroLocality Report
, please provide the
city or town
where you intend to relocate, visit, or gain information about in regards to the natal chart, as well as the
state or province and country
. In addition, please use fill in three location boxes will each place of choice if purchasing the
x3 AstroLocality Report
.
Remember to double-check the accuracy of the information you provide, as any errors could affect the accuracy of your astrology report, compatibility analysis, or relocation chart interpretation.
*
Indicates required field
Name of Main Individual
*
First
Last
Email
*
Birth Date
*
Enter birthdate information. Full birthdate required. Month, Day, Year
Birth Time
*
Enter birth time information. *Make sure that your birth time is accurate and from your birth certificate. Include the hour and minutes, am or pm. *There are no guarantees for accurate chart interpretation without accurate birth time.
Birth Place
*
Enter birthplace information. Please include birth town/city, county, state and country.
Name of Additional Person for Compatibility Reports
*
First
Last
Please provide the name and birth information of the person(s) you would like to assess your compatibility with. For each person, include their full name, date of birth, time of birth, and place of birth in the boxes below. Additionally, for Compatibility Scores, please specify whether for Romance or Friendship in the additional comments box below.
*Additional Person Birth Date
*
Enter birthdate information for second person for compatibility reports and scores. Full birthdate required. Month, Day, Year
Additional Person Birth Time
*
Enter birth time information for second person for compatibility report and scores. *Make sure that your birth time is accurate and from your birth certificate. Include the hour and minutes, am or pm. *There are no guarantees for accurate chart interpretation without accurate birth time.
Additional Person Birth Place
*
Enter birth place information for second person for compatibility report and scores. Please include birth town/city, county, state and country.
Place for AstroLocality Report
*
Enter the town/city, county, state, and country information of the desired location for the AstroLocality Report.
If purchasing the x3 AstroLocality Report, please put the additional locations below:
Place for AstroLocality Report
*
Enter the town/city, county, state, and country information of the desired location for the AstroLocality Report. *Please use all three location boxes is purchasing the x3 AstroLocality Report.
Place for AstroLocality Report
*
Enter the town/city, county, state, and country information of the desired location for the AstroLocality Report. *Please use all three location boxes is purchasing the x3 AstroLocality Report.
*
For Compatibility Scores
, please specify below whether for Romance or Friendship. If you have purchased more than one compatibility report, please use a separate intake form.
Additional Comments
*
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