Making a Booking for an Astrological Consultation

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Name:

Date of Birth: Day1234567891011121314151617 18192021222324252627 28 2930 31 MonthJanuary FebruaryMarchAprilMayJuneJulyAugustSeptemberOctoberNovemberDecember Year

City and Country of Birth:

Time of Birth: AMPM

How do you know your time of birth: Birth recordMother or FatherOther

How accurate is your birth time?: AccurateWithin +/- 5 minsWithin +/- 10 minsWithin +/- 20 minsWithin +/- 30 mins

Type of Reading:
Visual Astrology Consulation with Darrelyn Gunzburg (Sky Map and Fixed Stars) Predictive consultation with Darrelyn Gunzburg

Points that you want taken into account for your reading:

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Our necessary legal clause:

The consultation you are booking will be given in good faith and we hope it will be helpful. It is personal to you and not applicable to anyone else. Any use you make of the consultation is entirely at your own risk. The author, Astro Logos its servants and agents, are not liable in law or otherwise to you or any other third party for any loss whatsoever whether economic or personal arising out of the use of this consultation. You agree to indemnify the author, Astro Logos its servants and agents, from any action, claim or loss arising out of its use. The law applicable is that of England and Wales.

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