Planet Starz, IncOrder Form

For each desired report, fill out this form selecting the report you would like to purchase.
Planet Starz, Inc
314 Mill Pond Rd

Bluffton, SC   29910
 starzcast@planetstarz.com

Child*Star  $14.95  
Friends & Lovers  $17.95  
TimeLine Forecast  $17.95  

For all reports (except Friends & Lovers and Simpaticos) fill out just the birth data for "Person #1". For F&L and Simpaticos, fill out the both "Person #1" and "Person #2" (for the two individuals involved).

[If ordering Friends & Lovers, select:
Friends or: Lovers ]


Birth Chart Information
Person #1
[Needed for all reports]
Name: (Last name, First)

Gender: Male Female
BirthDate:

Please enter actual time
per birth certificate:

BirthTime:
(most accurate report)
:
OR, if you don't know
your birthtime, Check here:

Birth City:
Birth State: (or Country)

Person #2
[Needed for all reports]
Name: (Last name, First)

Gender: Male Female
BirthDate:

Please enter actual time
per birth certificate:

BirthTime:
(most accurate report)
:
OR, if you don't know
your birthtime, Check here:

Birth City:
Birth State: (or Country)



Billing Details: (we'll send report here if no shipping address is entered)
First Name: Last Name:
Street: City:
State:
(or Country) 		Zip Code:
Phone Number: () - Email Address:
 
Shipping Details (If different from Billing):
First Name: Last Name:
Street: City:
State:
(or Country) 		Zip Code:
Email Address:
 
Credit Card Information:
Credit card #: Expires:   
Card Code:


Please send the report by:
Email   Mail (Add $5.00 Shipping & Handling for each report)


[Note: AOL and WEBTV accounts do not permit emailing these reports (do to their size limitations).]