The Information I need:
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Choose your reading *
Name *
Email *
Additional email (or you can enter the same email) *
Date of Birth *
MM
/
DD
/
YYYY
City and Country of Birth *
Time of Birth  *
Time
:
Relocation (if applicable), where do you live now both City and Country that is different from your birth?
Is there anything specific you would like me to know or focus on?
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