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 or fax 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 _____ _____
INDRA Software version 1.7
#103
$300
$5 _____ _____
Kepler Software
#104
$250
$5 _____ _____
Psyche & Eros Compatibility Report
#105
$50
$5 (1-5 reports) _____ _____
City & Town Relocation Report
#106
$25
$5 (1-5 reports) _____ _____
What's Up With the August 1999 Eclipse?
#107
$35
$5 (1-3 Videos) _____ _____
What's Up With the August 1999 Eclipse?
#108
$25
$5 (1-3 Audios) _____ _____
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) _____ _____
Preparing for the New Millennium
#113
$40
$5 (1-3 Audios) _____ _____
Preparing for the New Millennium
#114
$40
$5 (1-3 Audios) _____ _____
Consultation with Bob Mulligan - 1 hour
#115
$200
n/a _____ _____
Consultation with Bob Mulligan - 2 hours
#116
$400
n/a _____ _____
Mastery of Astrology - 8 classes
#117
$250
n/a _____ _____
Mastery of Astrology - 24 classes (1 level)
#119
$675
n/a _____ _____
Between Astrologers and Clients - hardcover #120 $32 _____ _____
Between Astrologers and Clients - paperback #121 $22 _____ _____
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 or fax this form to us at the address below. Thank You!
The Astrology Company, P.O. Box 9237, Naples, FL 34101
239.261.2840 ph, 239.435.0967 fax