Zoetic Endeavours order form for Astrology Products and Services

Send completed forms with payment to:
Zoetic Endeavours, PO Box 3049 Stn B, London ON N6A 4H9, Canada

person whose birth data is
to be used for this order		 description
or title		 unit price x quantity = cost

name

 art chartwheel with Personal Astrological Data leaflet $55.00    

name

 art chartwheel with Personal Astrological Data leaflet $55.00    

name

 art chartwheel with Personal Astrological Data leaflet $55.00    

name

 art chartwheel with Personal Astrological Data leaflet $55.00    

name

 birthchart interpretation services $100.00    

name

 birthchart interpretation services $100.00    

name

 birthchart interpretation services $100.00    

name

 birthchart interpretation services $100.00    
Albert Einstein ready-made art chartwheel $8.50    
  Interpreting Your Birth Chart booklet $7.50    

products and services subtotal_____________

shipping (10%, minimum $2.00)_____________

Ontario residents: HST (13%)_____________

Other Canadian provinces GST (5%)_____________

Total (amount enclosed):_____________

Ship to:

Name: _________________________________________

Address : _______________________________________

______________________________________________

Phone: ________________ Email: __________________

 

Birth data of the persons for whom charts or interpretations are ordered:

name gender day of birth month of birth year of birth time of birth city/town of birth province or state of birth* country of birth
                 
                 
                 
                 
                 
                 
                 
                 
*(or other way of specfiying the exact city if there is more than one city with that name in that country)