BlueStar Reports Order Form

BLUE*STAR REPORTS
Blue*Star Astrology Reports
Please fill out the order form below and submit it to Maxine.
CONTACT INFO
Contact info
Please provide the email address where you would like your PDF report(s) sent.
Name*
First Last
Email*
Newsletter Opt-In
Would you like the email address used on this order added to Maxine's newsletter distribution list?
- Yes
- No
BIRTH INFO
Birth information
Enter the individual's birth information, including the exact time. Please double-check this information before completing your order.
Name*
First Last
Gender*
- Male
- Female
Birth City | State*
City State / Province / Region Country
Date of birth*
Please ensure the birth date has correct month, day & year
Time of birth*
Exact time is required.

: HH

MM
Payment Information
Select the button for PayPal, PayPal CREDIT or Debit or Credit Card to complete your purchase. VISA, MC, Discover and American Express are all accepted. All transactions made through this website are secure.
Report Options
Select the report(s) you would like to order:
- Price: $20 - Astro*Talk Astrological Profile
- Price: $20 - TimeLine 3 Month Forecasting Report
- Price: $36 - Both Astro*Talk and TimeLine Reports (save 10%)
Total
$0.00
Payment Method

American Express
Discover
MasterCard
Visa
Supported Credit Cards: American Express, Discover, MasterCard, Visa
Card Number Expiration Date Security Code Cardholder Name
Phone
This field is for validation purposes and should be left unchanged.

BLUE*STAR REPORTS