Madame Myoko's Order Form

Important: When you have filled out the form to your satisfaction, click on the SEND button at the very bottom of the form to enter your order.

Check The Boxes Below To Select Type Of Reading And Your Sign

Your Order Will Be Processed, And Once Payment Is Received At The Address Below, We Will Send Your Request!

Please Enter Your Information Below:

- Your E-Mail Address

- Name

- Street Address

- City

- State/Province

- ZIP/Postal Code

- Country

- Daytime Phone

- Basic Horoscope - $5.00

- Individual Chart - $15.00

- Compatability Chart - $25.00

Aquarius Pisces

Aries Taurus

Gemini Cancer

Leo Virgo

Libra Scorpio

Sagittarius Capricorn

- Subtotal

- Florida Residents Add 6% Sales Tax

- Total

Please List Sex,Date, Time And Location Of Birth For Each Sign:

Example: Libra: Female,10-18-55, 3:45PM, Queens, New York

Mail Your Payment And Make Payable To:
Madame Myoko

c/o MCADY
P.O. Box 1482
Cape Coral, Florida 33910

We Will Process Your Order Upon Receipt, And Foward To You Upon Receipt Of Payment

- (select to send order) - (select to clear the form)

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