Rectification Submission Form

This form submits the birth information usually 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.

Ben Dykes will use the information provided to begin the rectification, but you should expect some back-and-forth e-mails to clarify any questions and get the most accurate rectification. You will receive a report with your natal figure and accurate birthtime, along with a summary of the points used to rectify your chart.

After your rectification is completed, you may order a complete natal delineation and set of annual predictions by solar return, if you wish. For a detailed example of a natal delineation, including technical notes (omitted in paid delineation), please see Ben Dykes's delineation of Michael Jackson's nativity.

 

 

Name:
Gender: Male Female
Birth Month:
Birth Day (if born close to midnight, please give both day before and day after:
Birth Year:
Estimated Time (be as exact as possible):
City of Birth:
State or Province:
Country of Birth:
Please list notable events in your life, giving as exact a date as possible:
1. Notable illnesses, surgeries, accidents, and what part of the body they afflicted
2. Dates of marriage(s), and when you met your spouse(s) or had serious relationships
3. Dates you received honors/appreciation/fame
4. Any deaths of relatives/children:

Email:
Comments:

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