Jyotish Consultation Form

Note: This form is for a full Jyotish astrological reading ($175 USD) — either natal, progressive (follow-up), or compatibility. Click on the links below for the following other types of readings:

= required information

Choose type of session ($175 USD) (required):

Full Name (required)

Email (required)

Gender (required)
MaleFemale

Street Address (required)

Address, continued

City (required)

State (required)

ZIP

Phone (required)

Date of Birth (required)

Time of Birth (required)

A.M.P.M.

Source of Birth Time

Birth Place (required)

Birth Country (required)

POLICIES: If you must re-schedule your reading, you must provide at least 48 hours notice in advance of your scheduled time. Without adequate notification, your account will be charged in full for the reading. We do not provide refunds for any services. By clicking below, you agree to accept these conditions.

I have read and agree to the POLICIES shown above.

After you click "Schedule Now" below, you will be directed to a secure Schedulicity website to complete payment and schedule your consultation.Your request is not complete until payment has been received.