Submit Birth Info for a Relationship Reading
Please use this dual birth info form to submit the birth information for our relationship astrology appointment. If any birth time is unknown, please use 12:00 PM.
If your birth info is not included in the form, please put your name in the Comments field.
Please enter any helpful information in the Comments section, such as time zone if known, daylight savings, or county (for duplicate town names in the same state), etc.
If you have a problem with the web form, please contact me through the Contact Form on the Connect page as soon as possible.
DUAL BIRTH INFO FORM
PERSON 1 & 2
YOUR BIRTH INFO WILL BE KEPT PRIVATE
I never send spam. Please let me know in the comments field above if you DO NOT want your email address added to the list that I infrequently notify about special events and offers.