Psycho-Spiritual Birth Chart Reading Birth Data

Thank you for ordering your Psycho-Spiritual Birth Chart Reading!

To begin work on your reading I need your birth data to enable me to draw up your birth chart. Please provide this using the form below.

Please ensure your birth data is correct before submitting this form. Your chart and reading will be based on the information you provide. Should you subsequently advise that the information was incorrect and request a reading based on different data you will need to purchase again at the full price.

Your full name:

If a different name is to be shown on the birth chart please add it here:

The email address associated with your PayPal payment for this reading:

Your preferred contact email address if not as above:

Re-enter to confirm your preferred contact email address:

Your date of birth:
Day:

Month:

Year (YYYY)

Your time of birth. Please be as exact as possible:

Please select a.m. or p.m. from the drop-down list:

Your place of birth. Please include town, state (if applicable) and country. Please don't abbreviate any state name.

Where did you hear about Awakenings readings? Please select all options that apply.
Awakenings websiteFacebookTwitterAwakenings emailWord of mouthOther (please give details below)

We’ll be in touch with you within 48 hours to confirm receipt of your form and payment. Please note that office hours are generally Monday to Friday 9 – 5 UK time, so forms received outside of those times will be processed the next working day. If you do not hear from us within 48 working hours of payment please email us

You will receive your reading within two weeks of submission of this form, at the e mail address you designated as your preferred contact e mail.

Thank you, once again, for ordering a reading.