Onsite Date Selection Services

Appointment Form: Date Selection
(In-Person Consultation)

Your Personal Data :

Your Name:

Company Name:

Address:

Telephone / Fax:

Your e-mail address:

Personal Birth Data MM/DD/YY ( Including Exact Time you're born )
In Western Calendar Format
e.g Jan/12/1969 Time 17:20 am/pm

Gender:
--select gender Male Female

Choose only i) or ii):

i) Your Family Members or Business Partners Birth Data ( If applicable ) :
Date In Western Calendar Format

Example:
Members staying in your New Home
Family Mother / Father - Jan/12/1958 Time 17:20
Spouse - ( M/F ) Jan/12/1972 Time 17:20

Partners in your Business
Business Partner 1 - ( M/F ) Jan/12/1972 Time 17:20
Business Partner 2 - ( M/F ) Jan/12/1972 Time 17:20

ii) Bride or Groom Personal Birth Data ( for Wedding and Marriage only )
Date In Western Calendar Format

Example:
Bride or Groom - ( M/F ) Jan/12/1972 Time 17:20

Purpose of Date Selection:
--please select Moving into new house Marriage Opening of business Renovation Worship / Prayer Burial Activating water features Travel Others

Dates for your events (a period range to do the selection)
e.g I'm moving my house beween Feb/13/2006 to Feb/23/2006.
Preferable to be on weekends or weekdays

For Other Purposes:
Any other requirements should also be clearly stated in advance.