JavaScript isn't enabled in your browser, so this file can't be opened. Enable and reload.
Muriel Lindsay Astrological Reading Request
Fill out this form to request an astrological reading with Muriel.
Click Submit.
Pay for your reading.
Muriel will contact you to schedule your reading.
THANK YOU!
Sign in to Google
to save your progress.
Learn more
* Indicates required question
Email
*
Your email
Name
*
Your answer
Phone Number
*
Your answer
How did you hear about me?
*
Your answer
Type of Astrological Reading
*
Choose
Natal Chart Reading + Yearly Forecast Phone Consult Only: $175
Natal Chart Reading+ Yearly Forecast: Written & Phone Consult: $225
Theme Focused Reading (Already had a Natal Chart Reading) Phone Consult Only: $175
Newborn Natal Chart Reading: Written Only: $200
Date of Birth: Month/Day/Year
*
Your answer
Place of Birth: City/State/Country
*
Your answer
Exact Time of Birth: AM/PM
*
Your answer
Source of Birth Information
*
Birth Certificate
Other:
Required
Anything you want me to know now about what you are looking for in this reading? Significant life events, questions??? (At beginning of reading you will have ample opportunity to share) *
*
Your answer
A copy of your responses will be emailed to the address you provided.
Submit
Clear form
Never submit passwords through Google Forms.
Forms
reCAPTCHA
Privacy
Terms
This form was created inside of Muriel Lindsay.
Report Abuse
Terms of Service
Privacy Policy