Order Form for Relationship Compatibility or Vibrations
Name Mr/Ms
Full Address
Tel.number
e-mail
Results required
On telephone
e-mail
Results required
In Swedish
In English
BIO-DATA of the self
Sex
Male
Female
Date of birth
(Year-Month-Day)
Time of birth in 00.00-24.00 hrs
(Hour-Minute-Second)
Place of birth and Country
(If born in the countryside
then nearest city and country)
Is your Birth time correct?
Yes/ No/ Uncertain
Occupation or Job
BIO-DATA of the partner
Sex
Male
Female
Date of birth
(Year-Month-Day)
Time of birth in 00.00-24.00 hrs
(Hour-Minute-Second)
Place of birth and Country
(If born in the countryside
then nearest city and country)
Is your Birth time correct?
Yes/ No/ Uncertain
Occupation or Job
Please send consultation fee before you order analysis and wait few days
To Dalbir Singh:
Postgirot nr. 41 74 15 - 3
Date of payment
Amount Paid