Order Form

Please use this form if you are ordering products -- such as books, tapes, readings, or the MYSTICAL PENDANT/SILVER MEDALLION/KAVACH from our website. You can send this form by email along with your credit card information, or you can print and mail this form to ASTROVIEW along with your check, money order, or credit card information.

Note: This is a secure site. The security alert message only indicates that the security certificate is owned by our web hosting company, CONCENTRIC.COM. The security certificate is valid and from a trusted certifying authority.

Please provide the following contact information:

Name
Title
Organization
Street address
Address (cont.)
City
State/Province
Zip/Postal code
Country
Telephone
E-mail
Website

Please provide the following ordering information:

(If ordering the silver medallion known as the MYSTICAL PENDANT or kavach/amulet, please be sure to fill out the birth date form below. If ordering more than one MYSTICAL PENDANT/SILVER MEDALLION/KAVACH, be sure to send additional forms with each person's birth data.)

LINKS	LINKS PRODUCT/SERVICE	COST (USA)
Book	Book: Astrology for Life	$25.00
Readings	Horoscope Reading By E-Mail	$100.00
Readings	Horoscope Reading By Telephone	$150.00
Mystical Pendant/Silver Medallion/Kavach	Mystical Pendant/Silver Medallion/Kavach	$200.00
Tapes	Home Study Course	$150.00
Auspicious Dates	Auspicious Dates & Times	$75.00
CELEBRITY VIDEO TAPES	Home Study Course	$25.00

QTY	DESCRIPTION	COST PER ITEM
	Book: Astrology for Life	$25.00
	Horoscope Reading By E-Mail	$100.00
	Horoscope Reading By Telephone	$150.00
	Mystical Pendant/Silver Medallion	$200.00
	Home Study Course	$150.00
	Auspicious Dates	$75.00
	Ammachi Video	$25.00
	Bob Dylan Video	$25.00
	Bobby Fischer Video	$25.00
	George W. Bush Video	$25.00
	Jane Fonda Video	$25.00
	John Denver/Hugh Hefner/Adolph Hitler Video	$25.00
	Johnny Carson/Tiger Woods Video	$25.00
	Michael Moore Video	$25.00
	Muhammed Ali Video	$25.00
	Pope John Paul II Video	$25.00
	Prince Charles Video	$25.00
	Order Sub Total
	Add $10 Shipping for USA
	Add $20 Shipping for International
	Add 6% Sales Tax in Iowa USA only
	Total Amount Billed

	BILLING
Credit card	VISA Master Card American Express
Cardholder name
Card number ( 0000-0000-0000-0000 )
Expiration date
	SHIPPING (If different than contact address)
Street address
Address (cont.)
City
State/Province
Zip/Postal code
Country

Please provide birth date information when ordering the Mystical Pendant/Silver Medallion, or when ordering horoscope readings:

First Name
Last Name
MM/DD/YY of birth
City of Birth
State of Birth
Country of Birth
Time of Birth
A.M. or P.M.
Please let me know why you are contacting me at the present time:

---