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Your name:
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Your e-mail address:
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Your phone number (optional, but sometimes helpful)
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Your current location
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Month, date and year of birth (Please write out month)
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Your time of birth (specify AM or PM)
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Your city of birth. If you were born in a small town, what is the name of a larger town nearby?
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Special questions or concerns, and birthdata of anyone else involved
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Choose the kind of reading you'd like, and click on "Submit".
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