Birth Data for Individual
Astrological Chart

Complete birth data required
Month, day, year, exact time and place of birth
Place means city and province or state, including the country
If you have a legal land description include it and also note the closest neighbouring town for us if possible
If you don't know the time we will run the chart for noon.
Please provide the time frame and beginning date for astrological reports. If this is not provided we will start from the first day of the following month.
Time frame for forecasts is typically for one year, unless your order request and payment reflects a shorter or longer duration.
If this is a compatibility or relationship chart you will need to also fill out the same information for the second individual (see Birth Data for Compatibility Chart)

Details Needed

Birth Data #1 - Required for all Charts

Please note that all fields followed by an asterisk must be filled in.

Birth Data for Individual Chart*
Birth Data for Individual Chart*

	Individual Chart
	Compatibility Chart (if applicable)

Birth Date Format: Month/Day/Year*
Birth Date Format: Month/Day/Year*

Birth Place*
Birth Place*

Birth Time - please enter actual time per birth certificate.(Hour and Minute - AM or PM)*
Birth Time - please enter actual time per birth certificate.(Hour and Minute - AM or PM)*

BirthTime Not Known

Check here if you don't know your birthtime. (see notes)

First Name*
First Name*

Last Name*
Last Name*

E-mail Address*
E-mail Address*

Street Address

City*
City*

State/Prov*
State/Prov*

Zip/Postal Code

Country*
Country*