Order Page

Care-Gear.com

Order Form

For each desired report, fill out this form selecting the report you would like to purchase. Print the form(s) and mail or fax to:

Care-Gear.com
P.O.B. 25696

Federal Way, WA. 98093

Fax:
Phone: 206-994-5890
cosmicknight@care-gear.com

(If paying by check, make checks payable to Care-Gear.com; if paying by credit card, please fill in card info. at bottom of form.)

Astro*Talk Advanced Birth Report $15.95

Birth Chart Information

Person #1
[Needed for all reports]
Name: (Last name, First)

Gender: Male Female
BirthDate:

Please enter actual time
per birth certificate:

BirthTime:
(most accurate report)
:

OR, if you don't know
your birthtime, Check here:

Birth City:
Birth State: (or Country)

Your Mailing/Contact Information:
First Name:		Last Name:
Street:		City:
State: (or Country)		Zip Code:
Credit card #:		Expires:
C. Card Name:		Email Address:
Please send the report by Email Mail (Printed reports are $21.95 + Shipping & Handling)
[Note: AOL and WEBTV accounts do not permit emailing these reports (do to their size limitations).] Click the send button once, then proceed to On-line Payment Options The fastest way to get your report is to pay on-line! Your order will not be processed until payment is received.