Astrology for Mauritians by Jyotish Acharya Dr.Anil K Proag

Jyotish Acharya Shree Anil Kumar Proag, B.A.,RMT.

Jyotish Acharya Dr. Anil Kumar Proag,RMT. Tel. 6701837, 6751708, 2902701 aproag@intnet.mu

ANIL K PROAGOrder Form

For each desired report, fill out this form selecting the report you would like to purchase. Print the form(s) and mail or fax to:

ANIL K PROAG
3,Impasse Simonet.
Jerningham Street,
curepipe rd.,, CUREPIPE. 00000
Phone: 6701837, 6751708,

ANIL PROAG

Bois Marchand Cemetary Rd.,

TERRE ROUGE Tel 249 2177

akproag@intnet.mu

(If paying by check, make checks payable to ANIL K PROAG; if paying by credit card, please fill in card info. at bottom of form.)

Astro*Talk - Rs.1699/=

Friends & Lovers - Rs.1899/=

Just for Women - Rs.1199/=

Opportunities - Rs.1599/=

For all reports (except Friends & Lovers) fill out just the birth data for "Person #1". For F&L, fill out both "Person #1" and "Person #2" (for the two individuals involved).
[If ordering Friends & Lovers, select: Friends or: Lovers ]

Birth Chart Information

Person #1
[Needed for all reports]
Name: (Last name, First)

Gender: Male Female
BirthDate:

Please enter actual time
per birth certificate:

BirthTime:
(most accurate report)
:

OR, if you don't know
your birthtime, Check here:

Birth City:
Birth State: (or Country)

Person #2
[Needed for all reports]
Name: (Last name, First)

Gender: Male Female
BirthDate:

Please enter actual time
per birth certificate:

BirthTime:
(most accurate report)
:

OR, if you don't know
your birthtime, Check here:

Birth City:
Birth State: (or Country)

Your Mailing/Contact Information:
First Name:		Last Name:
Street:		City:
State: (or Country)		Zip Code:
Credit card #:		Expires:
C. Card Name:		Email Address:
Please send the report by Email Mail