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Order Form

Product selection:
I would like to order:
 
   

Personal details:

  
My name and surname:
My e-mail address: compulsory field
My contact number
(cell. or tel.):		  Number:
My sex:  
Male:
Female:
Birth Date (e.g. dd/mm/yy):
Birth Time e.g. 13h15:
Birth Place e.g. Cape Town:
 
If you selected Compatibility Profile (Love), please supply the details of the other person:
His/her name and surname:
His/her sex:  
Male:
Female:
Birth Date (e.g. dd/mm/yy):
Birth Time e.g. 13h15:
Birth Place e.g. Cape Town:
 
If you selected Astro*Locality Profile, indicate here the 3 citiesor towns you would like an interpretation for:
City #1:
City #2:
City #3:
 

Payment:
Total amount to be paid: R
 

Please make your EFT or direct deposit to:

Bank a/c details:

PS du Preez
Standard Bank
Thibault Square
Branch Code: 020909
Account Number: 070899827

OR

P du Preez
ABSA Bank
Branch Code: 63200500
Account Number: 028114575

Then fax proof of payment to 021 465-4811 or email to petra@astrozone.co.za

Please ensure you understand the contents of the different profiles prior to placing your order.

Please allow 2-3 weeks turnaround time from receipt of order.

Check that you have completed all your details correctly.
There are no refunds if you supplied incorrect data.

 
 
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