Schedule A Jyotish Consultation
First Name:
Last Name:
Date of Birth (MM/DD/YYYY):
Time of Birth (HH:MM):
AM/PM:
AM
PM
Source of Birth Time:
Select One
Birth Certificate
Mother or Father (Certain of Time)
Mother or Father (Guessing, General Time)
Relative (Certain of Time)
Relative (Guessing, General Time)
Other (Certain of Time)
Other (Guessing, General Time)
I Don't Know My Birth Time
City of Birth:
State of Birth:
County of Birth (US Only):
Country of Birth:
Preferred Online Video:
Select One
Zoom
Skype
Gmail Hangout
Email:
Comments (about birth information or potential consultation times/method):
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