PRINT & POST Relationship Chart only | Lux Readings

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Connection Chart Order Form

(PRINT & POST)

BUYER'S DETAILS

NAME

Email

Is this a gift?

Phone Number

Delivery Address

what date do you need this gift by?

How did you hear about us?

PARTNER 1

Full Name

Time of Birth

Place of Birth

Full Date of Birth

PARTNER 2

Full Name

Place of Birth

Time of Birth

Full Date of Birth

IF THERE IS MORE THAN TWO PARTNERS IN THE RELATIONSHIP PLEASE EMAIL ME DIRECTLY TO BOOK

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