AstroMaps Form

AstroMap Info & Consent Form

Thank you for purchasing your AstroMap! Please complete the following form. Upon submission you will be redirected to Reading Your AstroMap where you can download your supplemental guides.

Name

First Name

Last Name

Email

AstroMap

Life Path

Life Story

Sex

Date of Birth

MM

DD

YYYY

Time of Birth

HOUR:MINUTE am or pm

Place of Birth

(City, State/Province, County, Country)

Current Location

(City, State/Province, County, Country)

Other Locations I've Lived

Required only for the Life Story AstroMap*

Cities, Countries or Continents I'm Interested In

Brief Description of your Desired Life Experience

Three Desired Feelings

AstroMap Generation Consent & Agreement

To generate your AstroMap, the personal information you have provided above will be entered and saved in an online software program. For me to provide this service, you must agree to this limited use of your personal information.

I consent to the limited use of my personal information.

I agree to have my personal information saved and stored.

Privacy Policy

The Privacy Policy can be accessed in the footer of this Site.

I have read the Privacy Policy.

Refund Policy

The Refund Policy, included in Business Policies, can be accessed in the footer of this Site.

I have read the Refund Policy.

I understand that the fee for my AstroMap is non-refundable.

AstroMap Info & Consent Form

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