SECURE ON-LINE ORDER FORM
SECTION ONE - CHILDREN'S REPORTS
PARENT'S NAME: (MR/MRS/MISS)
ADDRESS 1
ADDRESS 2
TOWN / CITY
COUNTY / STATE
POST CODE / ZIP
E-MAIL ADDRESS (FOR E-REPORTS)
TELEPHONE (IN CASE OF QUERY)
CHILDS FULL NAME
CHILD'S SEX (SELECT)
SELECT ..
MALE
FEMALE
DATE OF BIRTH (DD/MM/YYYY)
TIME OF BIRTH (00:00)
- use 24hr clock
PLACE OF BIRTH
CHILDRENS REPORTS
PRICE
TICK IF REQUIRED
ASTRUM CHILD REPORT
£20.00
ASTRUM CHILD REPORT E-MAIL
£15.00
ASTRUM CHILD REPORT
PLUS
£24.99
ASTRUM CHARTWHEEL (BOUND)
£10.00
ASTRUM CHARTWHEEL (UNBOUND)
£7.50
PRICES INCLUDE UK POSTAGE TO UK MAINLAND ADDRESSES
EUROPEAN DELIVERY
ADD £2.00
INTERNATIONAL DELIVERY
ADD £3.00
YOU ARE DEEMED TO HAVE READ AND ACCEPTED OUR TERMS AND CONDITIONS ONCE YOU SUBMIT YOUR ORDER
YOU WILL BE CONNECTED TO A SECURE PAYMENT PAGE WHERE YOU WILL BE ASKED TO ENTER YOUR CREDIT CARD DETAILS.