Yellow Dragon Astrology Order Form

Please print a copy of this form, then complete it and post/fax it to us, together with a cheque (UK only) or International Money Order (in £ pounds sterling) payable to YD IMAGE LTD. PLEASE WRITE CLEARLY!

Type of Consultation		(UK)£
A)	Personal Consultation - by appointment only
	First Topic	£300
(Each additional topic will be an extra £100) Total number of topics:
Total Price
B)	Email/Fax Consultation - please allow 14 days for reply
	First Topic	£150
(Each additional topic will be an extra £50) Total number of topics:
Total Price

Astrology Order Form Name:................................................................(M/F): ................. Address ................................................................................................................ Date of Birth: .............................. Time of Birth (if known)............................. Phone (H): ................ ...........(Wk): ............................[Fax].............................. [Email address].....................................................Date:..................................... [Astrology Homepage] [Contact] [Links] [What's New] [Chinese Astrology] [CV] [Talismans] YELLOW DRAGON HOMEPAGE Yellow Dragon, Suite 7, 87 Great Eastern St London EC2A 3HY, UK contact Angelina on +44 07985 197 464 © 1995 - 2008 Yellowdragon Ltd       *To do a Palm reading by e-mail or fax, please post an ink print of your hand.