Health Report Order Form

Are you worried about your health? Have you been going through a series of check ups… only to feel even more unwell? Are you accident prone or prone to problems related to your stomach… your horoscope clearly indicates which way your health will go in the months to come. Find out about your health for the next 1 year and what you can do to stay in the pink of good health.

"We will make you beleive in astrology"

ORDER FORM

Name:

E-mail Address:

ENTER YOUR BIRTH DETAILS:

Name:
Sex:
Date of Birth:	/ / [dd/mm/yy]
Time of Birth:	: [hh:mm 24 hour format]
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City:
State:
Country:
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Payment mode:
Credit Card DD Amount: RS 500 (INR)
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