How To Receive Your Personal Life Partner Timing Report (Step A):
The two step ordering process will require less than three minutes of your time.
Step A (this form): All of the following information is required to create your personal report and is strictly confidential. Be sure to review the completed form carefully, before pressing the "Submit Form" button at the bottom.
Section 1: Contact Information (how you wish to receive your report)
Section 2: Birth Information (your birthdate, time, and place)
Section 1: Contact Information
Your email address:
If you are a Keen.com member, enter your Keen Member Name, otherwise enter...no or n/a:
How do you wish to receive your report? (choose one):email at a webpage
If you chose to receive your report by email, you must be able to unzip the email report file attachment with WinZip or compatible utility (AOL users may change settings to do this automatically).
Section 2: Birth Information:
Please fill in all of the following:
Are you interested in your life partner timing for meeting a: MaleFemale
Your first name (last name optional): MaleFemale
Your Birthdate: January February March April May June July August September October November December 01 02 03 04 05 06 07 08 09 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 29 30 31 1900 1901 1902 1903 1904 1905 1906 1907 1908 1909 1910 1911 1912 1913 1914 1915 1916 1917 1918 1919 1920 1921 1922 1923 1924 1925 1926 1927 1928 1929 1930 1931 1932 1933 1934 1935 1936 1937 1938 1939 1940 1941 1942 1943 1944 1945 1946 1947 1948 1949 1950 1951 1952 1953 1954 1955 1956 1957 1958 1959 1960 1961 1962 1963 1964 1965 1966 1967 1968 1969 1970 1971 1972 1973 1974 1975 1976 1977 1978 1979 1980 1981 1982 1983 1984 1985 1986 1987 1988 1989 1990
Your Birthtime (if known, will improve accuracy):AMPM
(Note: If you are a male or female desiring timing for meeting a female, it is essential that your birthtime be accurate to within a an hour or so of your birth.)
Your Birthplace (city, state, country):
Submitting this form indicates your agreement with the following disclaimer/terms: All sales as donations final. Professional consultations/readings intended as a guide for entertainment purposes only. By using this service, you understand and accept responsibility for your own actions, thus releasing the creators of your life partner timing report from all liability and in no event shall Intuitive Services be held responsible on how the purchaser uses the report information (i.e., you agree to hold Intuitive Services harmless.
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