Order Form for Universal Centre Astro Store

Quantity Title Price Total
__________ Compatibility with friend, love, business partner $20.00 __________
Future forecast, day to day
personalized forecast
__________

3 months

$ 12.00 __________
__________

6 months

$18.00 __________
__________

12 months

$24.00 __________
__________ It's all about you. Your natal chart interpreted. $20.00 __________
__________ Chart only, not interpreted. $ 5.00 __________
Locality
$ 5.00
__________
Total Order
__________
FL Residents add sales tax:
__________
Subtotal:
__________
__________
Domestic S/H per item:
$3.00 __________
FREE SHIPPING ON ORDERS $30 OR MORE
Grand Total:
__________
Information needed:

Full name: _______________________________

Birthday: date ___________________ time _____________ am ___ pm ___

Birthplace: city __________________ state ______ country ______________

Current: city ____________________ state ______ country ______________


Full name: _______________________________

Birthday: date ___________________ time _____________ am ___ pm ___

Birthplace: city __________________ state ______ country ______________

Current: city ____________________ state ______ country ______________


Please Print:
Name: _____________________________________________
Address: _____________________________________________
City, State, Zip: _____________________________________________
Florida County: _____________________________________________
Daytime Phone: _____________________________________________
E*mail address: _____________________________________________
Check or Money Order Payments: Print and complete this Order Form and mail it with payment to:

Universal Centre
P.O. Box 296

Cassadaga, Florida 32706
Credit Card Orders: call Toll Free 1-877-6CENTRE (1-877-623-6873)

Universal Centre Astro Store

Universal Centre Online Store

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