Richard Hills - Astrologer
Compatibility Horoscope Order Form
Your Name
Email
see link to Privacy Policy at bottom of page
Confirm Email
Names as you would like them to appear in the report
The Other Partner
One Partner
Gender
Male
Female
Male
Female
Birth Dates and Times
Choose
January
February
March
April
May
June
July
August
September
October
November
December
Choose
January
February
March
April
May
June
July
August
September
October
November
December
Month
Month
Day
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02
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31
Day
Year
Year
If the birth time for either partner is unknown, please check the box below for that partner. If you know the birth time please give details. The accuracy of this report will be impaired if either, and especially if both, birth times are unknown.
Time unknown
Time unknown
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59
Time
Time
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01
02
03
04
05
06
07
08
09
10
11
00
01
02
03
04
05
06
07
08
09
10
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12
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30
31
32
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40
41
42
43
44
45
46
47
48
49
50
51
52
53
54
55
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57
58
59
AM (before noon)
PM (after noon)
AM (before noon)
PM (after noon)
AM/PM
AM/PM
+/- 2 min
+/- 10 min
+/- 20 min
+/- 30 min
+/- 60 min
+/- 2 min
+/- 10 min
+/- 20 min
+/- 30 min
+/- 60 min
Accuracy
Accuracy
Place of Birth
Town
Town
State/ County
State/County
Country
Country
A Personal Profile report at half price is offered for either or both partners if ordered on this form. Please check the box(es) to order.
Personal Profile
Personal Profile
Please write in the space below and further relevant information. For instance, if the place of birth is a small village name the nearest town. Remember to state to which person this applies.