AstroAnalysis Birth Form

FREE!
Best with a known clock time of birth.
Payment options: Major Credit Cards
Fill out the form and skip the payment page!

~Astro-Analysis and your natal chart wheel.~

Astro-Analysis: $5.00
Chart Wheel: $.95
Total: $5.95

View Sample

Due to many requests and to expedite your FREE report we are asking that the information be entered in the format shown next to each field.
This is different from our usual order forms, but insures that we will get your FREE report to you.

Birth Information

1) Name:

2) Date of Birth :
Example1: for February 14, 1962 - Enter: 02/14/1962
Example2: for October 5, 1958 - Enter: 10/05/1958
Please leave slashes in place

3) Time of Birth :
Example1 : for 2:50 PM - Enter as: 02:50:00 PM
Example2 : for 10:06 AM - Enter as 10:06:00 AM
Uses AM or PM; not 24 hour a.k.a. military time.
Please leave all colons and zeros in place

4) City of Birth :

4a) OPTIONAL - County :
Sometimes a city name is found in more than one county.
If known, please enter it in 4a.

5) State or Region of Birth :

6) Birth Country:

7) OPTIONAL: Your Preferred House System

Equal
Koch
Placidus

Tip: For learning purposes only this report is best utilized with
the Equal House System and an accurate clock time of birth.
This is because each house cusp will be represented by a sign.

Astrology House Systems

Free Report Reminder: if time or date format has not been entered per the examples shown then the free report cannot be sent.