Birth data - DRU ISH

Birth data for consultations with Dru Ish

Please comeplete this form asap, and double check your birth data before submitting. Only answer what is asked of you.

For Gift Certificate recordings: use N/A where Skype handle and appointment date and time are asked.

The Cancellation and Refund Policy can be found here.

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Name(required)

Pronoun (required)

Email(required)

Current location (State and Country)(required)

Date of birth(required)

Month of birth(required)

Year of birth(required)

Time of birth(required)

AM/PM(required)

My birth time is:(required)

If your birth time is an estimate, please detail the events surrounding your birth (eg: I was born around Sunrise / Sunset - after work, early morning etc)

Place of birth: CITY / TOWN(required)

Place of birth: STATE / TERRITORY / PROVINCE (required)

Place of birth: COUNTRY(required)

Have you had a reading with Dru Ish before?(required)

Skype name (for online appointments)(required)

Appointment date and time (EST)(required)

Which reading did you purchase?

Type of Relationship: Marriage / dating / parent-child / colleague (*for Relationship readings only)

Who were you referred by? / How did you find Dru?

I have read, understood and agree to the cancelation / refund policy(required)

Birth data for consultations with Dru Ish

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