Your Name:- 

Telephone No:-

email address: 

Delivery Address:- 

Child's Name:- 

Date of Birth:- 

Place of Birth:- 

Time of Birth 

Please print off and complete this form and then forward, together with your payment of £50.00 or £75.00, respectively (cheques or postal orders made payable Ms. C. NanceKievill). You can now also pay with credit or debit card via PayPal. Follow the link to my other website (www.soul-astrology.co.uk) and order the child report from that site.

The Fairy Godmother
"Chalacott"
Shebbear, Beaworthy,
Devon. EX21 5RU

Tel: 01409 281818 or 0870 203 55 66 email: info@the-fairy-godmother.co.uk(not a direct link).

Don't forget to include any of the following:
Your personal message
A photo of the child
Any favourite poetry or verse.