Request for Astrology Reading -  Purifying Karma at Death /  Karmic Map to Liberation
This is a astrology reading request form for everyone who ordered the Astrology Reading for Purifying Karma at Death and Karmic Map to Liberation - Vedic Astrology Reading. Please fill out the requested information below.
Sign in to Google to save your progress. Learn more
Email *
Please indicate your order below: *
Name
Please enter the name of the person you want to request for the astrology reading.
Please enter name below: *
Email
For contact purposes, please enter a valid email address.
Please enter email address below: *
Location
Please indicate birth location by City/State and Country.
Please enter birth location (City/State, Country) here:
Birthdate
MM
/
DD
/
YYYY
Birth Time (required for the karmic map reading)
Time
:
For Astrology Reading for Purifying Karma at Death orders:
For everyone who ordered the Astrology Reading for Purifying Karma, please do not skip and fill out the question/s below:
Death Date
MM
/
DD
/
YYYY
Death Time (beneficial for the death reading)
Time
:
Schedule Your 1 Hour Session
If you have booked the karmic map reading, please schedule your 1 hour session for Karmic Map Astrology Reading here:  https://calendly.com/dzokden/karmic-map-astrology-reading

Thank you for submitting your request!
Please allow an ample amount of time for your request. Readings may take up to 30 days to be completed. 
Submit
Clear form
Never submit passwords through Google Forms.
reCAPTCHA
This form was created inside of Dzokden Foundation, Inc. Report Abuse