THE ASTROLOGY COMPANY ORDER FORM To order The Astrology Company's charts, software, videos or information, print and fill out this order form and mail to the address below. Or call 239.261.2840 Monday-Friday 9 A.M.-5 P.M. Eastern Time. Please note: All fields are required for charts and services. Contact Information | | Your Info: Name___________________________________ Company________________________________ Address_________________________________ Suite/Apartment__________________________ City____________State______Zip___________ Phone day______________ eve _____________ Fax Number_____________________________ E-Mail Address___________________________ | Ship to (leave blank if same): Name___________________________________ Company________________________________ Address_________________________________ Suite/Apartment__________________________ City____________State______Zip___________ Phone day______________ eve _____________ Fax Number_____________________________ E-Mail Address___________________________ |
Price List | | | | | | ITEM | ITEM # | ITEM PRICE | SHIPPING PRICE | QUANTITY | TOTAL PRICE | | | | | | | INDRA Astrology Report | #101 | $35 | $5 (1-5 reports) | _____ | _____ | INDRA Workshop | #102 | $185 | $8.95 (DVD and Booklet) | _____ | _____ | INDRA Software version 1.7 | #103 | $300 | $5 | _____ | _____ | Kepler Software | #104 | $300 | $5 | _____ | _____ | Psyche & Eros Compatibility Report | #105 | $50 | $5 (1-5 reports) | _____ | _____ | City & Town Relocation Report | #106 | $25 | $5 (1-5 reports) | _____ | _____ | Astrology and Your Relationships | #107 | $225 | $5 (DVD and Booklet) | _____ | _____ | Using Astrology for Spiritual Transformation | #108 | $185 | $15 (Dvd and Booklet) | _____ | _____ | Using Symbols for Self Development | #109 | $20 | $5 (1-3 Audios) | _____ | _____ | Using Astrology in Everyday Life | #110 | $10 | $5 (1-3 Audios) | _____ | _____ | State of the Universe | #111 | $15 | $5 (1-3 Audios) | _____ | _____ | The Road Ahead | #112 | $10 | $5 (1-3 Audios) | _____ | _____ | Consultation with Bob Mulligan - 1 hour | #115 | $250 | n/a | _____ | _____ | Consultation with Bob Mulligan - 2 hours | #116 | $500 | n/a | _____ | _____ | Mastery of Astrology - 8 classes | #117 | $250 | n/a | _____ | _____ | Mastery of Astrology - 24 classes (1 level) | #118 | $675 | n/a | _____ | _____ | How to Start, Maintain, and Expand an Astrologial Practice - paperback | #119 | $17.95 | | _____ | _____ | Between Astrologers and Clients - hardcover | #120 | $32 | | _____ | _____ | Between Astrologers and Clients - paperback | #121 | $22 | | _____ | _____ | Solar Return Report | #122 | $60 | $5 | _____ | _____ | Transit Report | #123 | $60 | $5 | _____ | _____ | Compatibility Report | #124 | $45 | $5 | _____ | _____ | Cosmo Compatibility Report | #125 | $30 | $5 | _____ | _____ | Please allow 2-3 weeks for delivery. Please double check the shipping address. We are not responsible for incorrect addresses. Sorry, no C.O.D.'s. | | | | TOTAL: | _____ | |
Method of Payment (please circle one) VISA | MC | AMEX | Money Order | Check |
Name on Card _________________________________________ Credit Card # __________________________________________ Expiration Date (mm/yy) ____ / ____ Billing Zip ____________ Signature _____________________________________ Date ________________ Astrology Report Information Please fill out the following information for each INDRA Astrology Report: Name __________________________________ Birthdate (mm/dd/yy) ___ / ___ / ___ Birthplace (city/state/province/country)_____________________________________ Birth Time ____:____ am / pm (circle one) Name __________________________________ Birthdate (mm/dd/yy) ___ / ___ / ___ Birthplace (city/state/province/country)_____________________________________ Birth Time ____:____ am / pm (circle one) Please fill out the following information for each Psyche and Eros Report: Name __________________________________ Birthdate (mm/dd/yy) ___ / ___ / ___ Birthplace (city/state/province/country)_____________________________________ Birth Time ____:____ am / pm (circle one) Name __________________________________ Birthdate (mm/dd/yy) ___ / ___ / ___ Birthplace (city/state/province/country)_____________________________________ Birth Time ____:____ am / pm (circle one) Please fill out the following information for the City and Town Relocation Report: Name __________________________________ Birthdate (mm/dd/yy) ___ / ___ / ___ Birthplace (city/state/province/country)_____________________________________ Birth Time ____:____ am / pm (circle one) Cities of Relocation (list up to 5): Please mail this form to us at the address below. Thank You! The Astrology Company, 1053 Futrell Dr., #328 Myrtle Beach, SC 29577 239.261.2840 ph |