PERSONAL ASTEROID POSITIONS - ORDER FORM

A Listing of zodiacal positions for 12,600+ asteroids for the date, time and place of your birth.
TROPICAL ___ or SIDEREAL (Fagan) ___ GEOCENTRIC ___ or HELIOCENTRIC ___

Alphabetical Listing *** (that's less than $0.10 per 100 asteroids)                    $16.00 x _____ = $ ________
or
Zodiacal Listing ***                                                                                            $16.00 x _____ = $ ________
or
BOTH Alphabetical & Zodiacal Listings:                                                             $25.00 x _____ = $ ________
      
With any above order, if you include birth data for a second person,
         you may purchase the following comparisons (without second chart listing):
Conjunctions: primary chart asteroids to second chart planets & angles (1 degree orb)                      $4.00 $ ________
Conjunctions: second chart asteroids to primary chart planets & angles
(1 degree orb)                      $4.00 $ ________
       
Not ordering a full list now?                                                                                 (Degrees of intensity)
***Sneak a peek at YOUR most intense asteroid positions with a list of asteroids                   (sold separately)
     conjunct (1 degree orb) to your natal planets & angles without ordering natal lists
        $5.00 x ______ =               $ ________
   (1 degree conjunctions to natal planets & angles included with all full listings at no extra charge)
Postage: International surface mail or U. S. Priority:                 $5.00 (1 person), $6.75 (2 persons) $ ________
International air mail (except Canada & Mexico):                        1 person: $6.00, 2 persons: $8.50 $ ________
Canada & Mexico air mail:                                                          1 Listing: $5.00, 2 Listings: $6.75 $ ________
**Call for postage on larger orders

Total Enclosed: Make out check or postal money order to Roxana Muise (U.S. funds)               $ ____________
and send with this form to Roxana Muise, PO Box 3948, Lacey, WA 98509-3948 U.S.A.
                                                                         *****
Mail Asteroid list to: __________________________________________ Phone (________)__________________
Mailing Address _________________________________________ E-Mail _______________________________
City/State/Zip/Country __________________________________________________________________________
                                                      *****
Primary chart birth information
Name _______________________________________________________________________________________
Birth date (mm/dd/yy) ___________________________ Birth time ________________________  __ AM __ PM
Time zone/type ___________ Birth place (City/State/Country) _________________________________________
Longitude ___________________ Latitude ___________________ Birth certificate? Or? ____________________
                                                      *****
Second chart birth information
Name _______________________________________________________________________________________
Birth date (mm/dd/yy) ___________________________ Birth time ________________________  __ AM __ PM
Time zone/type ___________ Birth place (City/State/Country) _________________________________________
Longitude ___________________ Latitude ___________________ Birth certificate? Or? ____________________

____ I would like to take part in the AST SIG category research - please send me information.
____ Please send me information about joining the Asteroid SIG, and how to order 100 year Asteroid ephemerides.
____ Please send me the list of Asteroid categories as soon as it’s available.
E-mail me a full list of the 12,600+ named asteroids. My e-mail address is ________________________________
____ I am interested in receiving asteroid data in electronic format. (not yet available)