CHARTS  ORDER FORM

a.  Print & Post, or
b.  Copy this page and send by EMAIL
c.  Order by phone (03) 5474 3213


Name: . . . . . . . . . . . . . . . . . . . . . . . . . . . . .  .
Address: . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
 . . . . . . . . . . . . . . . . . . . . P/code: . . . . . . . . .
Phone (hm). . . . . . . . . . . . . . . . . . . . . . . . . .
(bus). . . . . . . . . . . . . . . (fax) . . . . . . . . . . . .
Email: . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
Birthdata:  Date.................Time (if known).................. am/pm
City........................ Country.......................................
 
Please forward the following items:
A.MY TIBETAN KALACAKRA CHART with CHAKRA DIAGRAMS
-  inc  my 'Kalacakra Moments'
-  inc  my Traditional Kalacakra chart
-  inc an article on Soli-lunar phase affects upon chakras and mental states.
$AUD 28.00
$US 20.00

B. MY TIBETAN ELEMENTAL CHART (Moon Rays system)
Calculation text only print. $AUD 5.00
Full colour Print. $20.00

C. TIBETAN ASTROLOGICAL AMULET (special order)
I understand that this may take up to 6 weeks to be supplied.
I would like an amulet specifically for
Health / Luck / Career/ or
General Combination (strike out inapplicable)
$AUD 20.00

D.  I would like to put my name on the list for
a detailed written interpretation of my Elemental Chart by Tsering Dolma.
No deposit required.

E.  I would like a consultation with Kim Lai.
No depost required.

I would like to pay by:-

POST:
Please find enclosed cheque/money order
to - Tibetan Astrology - for the amount of>
Enter total amount in $AUD-

$..............................

or if ordering by email and sending cheque in post.
I have forwarded cheque sent in post. for the amount of
$................ ............

OR
Please debit my
Mastercard / Visa / Bankcard
the amount of $................
Card expiry date  ..... / ......

In the name of . . .. .. . . . . . . . . .
card number:

_  _  _  _  /_  _  _  _  /_  _  _  _ /_  _  _  _ /
 
Signature ..............................................................
or email address if ordering by email ................@......................

OR
I will phone my credit card numbers through to you.

The Australian College of Tibetan Astrology
PO Box 786,
Castlemaine,
Vic. 3450
AUSTRALIA
(03) 5474 3213

email: tibastro@netcon.net.au  
 
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