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Astrology Reading Form

If you have selected your reading from the Astrology Readings page and submitted the payment via Paypal, then please complete this form and submit it to Maxine. There is a text box at the end with any notes or questions you might want to include. There is no need to provide this information again if it’s already been sent prior to payment.

If you prefer to email or speak to Maxine first, please see the Contact page.


  • (Hold down the CTRL key and click to select multiple readings)

  • Your Contact Information




  • Please Read Before Proceeding

    Fill out the information below for each individual receiving a reading. The second individual's information is for a Chart Comparison. If you wish to order another type of reading for both individuals, eg: an Annual Forecast, then please specify this in the notes at the bottom of the form and do not check the Chart Comparison acknowledgement near the second individual's name.

    About the birth time: An exact birth time will produce the most accurate reading. If this is not known, then use 6:00 A.M. for the birth time and specify in the notes at the bottom of this page the exact birth time is not known and for which individual(s).

  • First Individual Birth Information

    Please enter your birth information below. If needed, Maxine will get your mailing address when she contacts you.
  • Important: If the exact time is not known, please use 6:00 A.M. and specify in the notes below the exact birth time is not known for the first individual.
    :


  • Second Individual Birth Information

    (if applicable)
  • Is this individual's information to be used for a Chart Comparison with the first individual?
  • Important: If the exact time is not known, please use 6:00 A.M. and specify in the notes below the exact birth time is not known for the second individual.
    :

  • This field is for validation purposes and should be left unchanged.