For Prediction We Require The Following Information :

Name

Date of Birth - Day /Month/ Year
Time of Birth - Hour/ Min.
City of Birth
State of Birth
Country of Birth
Sex - Male/Female
Marital Status -Married/Unmarried/Divorcee
Date of Marriage - Day/Month/Year
Number of children
Any stone / ring already wearing and in which finger and for how long / or any other Tantrik Siddh Upayas Undertaken-


The fee is inclusive of suggestive remedies/ upayas and postal / courier services.

Kindly furnish me with a horoscope containing the following :
(Please select any one option)

	Charges in Rs.	Charges in USA Dollars
Horsoscope at your doorstep	500 - 1500	50 - 100
Kundali Making with your photo (3 yrs. prediction)	800	50
Matchmaking with predictions	500	50 - 100
Upayas (Remedies) for any problems	1100	200
3 Questions	500	25

Note :
1 You may deposit in ICICI, HDFC or PNB Bank. Account numbers will be intimated later.

2 Cheque/drafts in favour of MADAN GUPTA 'SPATU' payable at Chandigarh.

3 Please remember to write your name, address and date of submission of this enquiry form on the back of the payment document.

4 Your prediction will be sent to you after receiving the payment, either through E-mail or Post/Courier.