Star-Room Astrology
Compatibility and Birth Chart Readings

Compatibility and Birth Chart Order Form

* See bottom of form for alternate ordering methods *

(Note: All Prices Are In U.S. Dollars)
Email address:
Your Name:
Shipping and
billing address:		Street:
City:
State:Zip:
Country
Name of Primary
person reading is for:		Name:
Sex:
Date Of Birth Time am/pm
State Of Birth City
Country if outside the United States
COMPATIBILITY CHECK
"Their" Name:		Name:
Sex:
"Their" Date Of Birth Time am/pm
"Their" State Of Birth City
Country if outside the United States
ItemQty.Unit PriceQty. times Price
Birth Chart $5.00 ea.
Compatibility Reading $5.00
Package Deal
Compatibility Check
and single Birth Chart		 $10.00
Subtotal
Add $2.75 for Shipping/Handling U.S. Orders Only,
Outside The U.S. add $5.00 Shipping/Handling
Order Total

Payment Method
Card Type:
Card No: (Please Verify)
Expiration Date (mm/dd):
Name Appearing on Card:


All Orders Are Shipped US Ground To Save You Shipping Costs
(All Prices are in US Dollars - Sorry, no COD's accepted)

You may also order your Compatibility or Birth Chart in the following manner:

  • By Mail (Print the order form and mail it to us with your preferred method of payment (Credit Card, Check, Money Order) to:
    Gra-Fx2 Creative Technology, 2154 Alta Vista Dr., Lake Havasu City, Arizona 86403)

  • All Credit Card Orders will be billed under "Gra-Fx2 Creative Technology" on your credit card statement.

Thank You, and have a GREAT year!