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Numerology Report Order Form
We just need 4 bits of information to create your reports...

 Personal Details:  please enter your (1) full birth name, (2) your current name, 

 (3) your date of birth and (4) email, in the 4 boxes below...

1. Full Name Given at Birth:

First                                       Middle(s)                                         Last

                         Example: Reginald Kenneth Dwight

N.B  For any questions about what names to use for either the Birth Name or Name Used Today, see guidance notes.  All information is kept strictly confidential.

2. Full Name Commonly Used Today:

First                           Middle (only if you always use it)                              Last

                                      Example: Elton John

3. Date of Birth:

Click on the box and select your Date of Birth from the pop up.

4. Your Email:

This is where we'll send your reports once created, in pdf format.

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