PRINT & POST Relationship Chart & Chat | Lux Readings

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Connection Chart & Chat Booking 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

ONCE THE ORDER IS COMPLETE I WILL BE IN TOUCH DIRECTLY TO BOOK IN A TIME TO CHAT THAT SUITS YOU BEST

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