Natal Information Submission Form

This form submits the birth information needed to cast and interpret your natal chart.  After you complete the form, press "Submit" to go to the payment page. Your order is not complete and will not be processed until you have both submitted the form and purchased your report via our secure service, PayPal.

Within 2 weeks Ben Dykes will delineate your natal chart, providing you detailed information on personal happiness, finances, health, marriage/relationships, children, social standing, and profession.  You may choose either a written report (5-7 pages) or have a recorded telephone consultation lasting 1 hour (at your expense).  If you would like a written report, Ben Dykes will e-mail you a copy of the report in PDF form, with the opportunity for a follow-up e-mail answering your questions about it.

For a detailed example of a natal delineation, including technical notes (not included in paid delineation), please see Ben Dykes's delineation of Michael Jackson's nativity.

Important: He will also include a set of annual predictions for the most complete year based upon the current date.  If your most recent birthday was less than 6 months ago, he will base his predictions on the year from that birthday to the next.  If your most recent birthday was more than 6 months ago, he will base them on the next one, provided you know what city you will be in on that date.  In the absence of that information, he will omit certain techniques.

 

Name:
Gender: Male Female
Birth Month:
Birth Day:
Birth Year:
Exact Time of Birth:
City of Birth:
State or Province:
Country of Birth:
What is the city of residence for your nearest birthday, to be used for your annual predictions (see above)?
Would you like a written or phone report?
Written Phone
Your e-mail:
Do you have any comments or areas of concern you would like to be addressed?

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