Numerological Character Report & Numerological DayTracker™ Form

Please provide the following mailing/contact information:
Name
Street address
Address (cont.)
City
State/Province
Zip/Postal code
Country
Home Phone:
Business Phone:
FAX
E-mail
Enter any other information that might be relevant:
Credit Card:
Number: Expiry Date:
Numerological Character Report (approx 12 pages) & 1 page/week Numerological DayTracker™ (separate booklet with your cycle year, month, and day influences for the current year). 6% GST and air mail is included. C$50 to Canadian destinations, US$50 to destinations in the US and International.
Numerological Character Report (approx 12 pages) & 1 page/day Numerological DayTracker™ (separate booklet with your cycle year, month, day, and HOUR influences for the current year). 6% GST and air mail is included. C$70 to Canadian destinations, US$70 to destinations in the US or International destinations.
Numerological Character Report only (approx 12+ pages) 6% GST and air mail or return email by Adobe pdf, or fax is included. C$20/US$20. Adobe pdf versions of this report is now available by return email. Send by return email in pdf format: Send by mail Send by fax
1 page/week Numerological DayTracker™ (cerlox bound booklet (~100 pages) with your cycle year, month, and day influences for the current year). 6% GST and air mail is included. C$35 to Canadian destinations, US$35 to destinations in the US and International.
1 page/day Numerological DayTracker™ (cerlox bound booklet (~400 pages), with your cycle year, month, and day AND hour influences for the current year). 6% GST and air mail is included. C$60 to Canadian destinations, US$60 to destinations in the US and to International destinations.
Invoice Payment Please enter your invoice number and/or description, and amount to be charged to your Credit Card.
There is a 30 day money back guarantee on the Numerological Character Report™ and Numerological DayTracker™. Colin Maxwell and Triune-Being Research Organization Ltd. have been in business in Edmonton, Alberta, Canada for more than 17 years. You may obtain a Better Business Bureau Report on our company by calling 1-780-482-2341.
You may also print this form and mail or fax it to us, or use email.

Please enter the following information:
First name most used
Last name used
Your business signature (printed)
Full legal name at birth
	Male Female
Your birth date Month: Day: Year:
Enter the time of birth if known. This is most important if you are born just after midnight :

	Your Personalized Numerological Character Report & Numerological DayTracker™
Enter your information below for your Numerological Character Report & Numerological DayTracker™
These are mailed out to you, usually within 24 hours. Of course, if you happen to be in Edmonton you may pick them up at the office.