Numerology Wizard.com

Order NUMEROLOGY or YEARLY REPORTS for
Yourself, Family and Friends

Use the printable order form below to purchase a Numerology Report and/or a Yearly Report. For additional reports, either copy this form or send required information on a separate sheet of paper. Any numerology chart with missing information cannot be processed. To ensure the most accurate chart, please provide exact information. No reports will be sent before payment is received, and checks cleared. We accept Visa, MasterCard or personal check.

Name ___________________________________________________________

Phone # ________________________________________

Address ______________________________________________________

City _______________________________ State __________ Zip ___________________

Visa/MC # ____________________________________ Exp. Date _____________

Signature _______________________________________

PLEASE PRINT CAREFULLY IN BLOCK LETTERS

CIRCLE the appropriate chart(s): Numerology Chart or Yearly Report

1. FULL Birth Name, as it appears on the birth certificate:

___________________________________________________________________________

2. Name Used Today, which is most strongly identified with:

___________________________________________________________________________

3. Date of Birth (MM/DD/YYYY): __________________________________________

Please send me _________ Reports at $10.00 each $___________

Plus postage & handling: $2 per report $___________

PA Residents add 7% Sales Tax $___________

TOTAL ENCLOSED $___________

Send order form with credit card information, check, or money order to:
Francesca Szarnicki
1310 Deerfield Lane
Leechburg, PA 15656

You may also order by phone at 724-845-1407

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