Your Email Address:
Date of Birth:
If abbreviated, be sure to use the
American format: MM/DD/YY.
Time of Birth:
If you are not sure of your time of birth, you will need to have your chart rectified first. Click here for details.
City and Country of Birth:
this service is only available as a consultation offered via phone or online via Skype (a free service) and digitally recorded as MP3s, at a time convenient for you. Please note:
Additional Information for your Annual Predictions:
Ben's report will include an annual prediction. If your most recent birthday was less than 6 months ago, he will base his predictions on the year from that birthday to the next. If your most recent birthday was more than 6 months ago, he will base them on the next one, provided you know what city you will be residing in on that date. In the absence of this information, the report may still be produced, but certain techniques will be avoided.
Was your last birthday less than 6 months ago?
If yes, what city were you residing in on your last birthday?
If no, what city will you be residing in on your next birthday?
(If unsure, please state "unsure")
Optional Additional Information:
Use this box if you have any comments that you feel would be useful for Ben to know, or if you want to make any special requests or tell him of areas that you would like him to pay particular attention to.
Please review your information carefully before submitting this form.
I have read the information offered on this report, including the full list of Frequently Asked Questions, and I accept the terms and conditions described. (Please tick this box to proceed).
Upon submission of this form, you will be directed to the payment page.
Your order is not complete and will not be processed until you have instructed payment via Paypal's secure server.