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<!-- start code here --> <form method="POST" action="https://kiosk.alabe.com/cgi-bin/chart/astrobotk.cgi?Y" enctype="x-www-form-urlencoded" target="_self"> <b>Which report would you like to order?</b> <p> <select name="PARTNAME" size="8"> <option value="Charts and Reports:AL:PNR,Astrolabe's Professional Natal Report Via Email- $25" selected>Professional Natal Report Via Email - $25</option> <option value="Charts and Reports:AL:Cosmic Blueprint,Cosmic Blueprint Astrology Report Via Email- $35">Cosmic Blueprint Astrology Report Via Email - $35</option> <option value="Charts and Reports:AL:ICh email,Gloria Star's Inner Child Report Via Email - $35">Your Inner Child Report Via Email - $35</option> <option value="Charts and Reports:AL:Ero,Astrolabe's Eroscope Report Via Email - $25">Eroscope Report Via Email - $25</option> <option value="Charts and Reports:AL:Ast Godd,Asteroid Goddess Report Via Email - $35">Asteroid Goddesses Report Via Email - $35</option> <option value="Charts and Reports:AL:Child,Gloria Star's Optimum Child Report Via Email - $25">Gloria Star's Optimum Child Report Via Email - $25</option> <option value="Charts and Reports:AL:Maya,Mayan Life Path Astrology Report Via Email - $25">Mayan Life Path Astrology Report Via Email - $25</option> <option value="Charts and Reports:AL:Lilith,Black Moon Lilith Astrology Report Via Email - $35">Black Moon Lilith Astrology Report via Email - $35</option> </select> </p> <p><br> <input type="hidden" value="Y" name="DOCARTBOTMODE"> <input type="hidden" value="BrujaCoto" name="ACCOUNTINGCATEGORY"> <input type="hidden" value="BrujaCoto" name="CARTNAME"> <input type="hidden" value="sofarorderBrujaCoto.html" name="ERRORFORM"> <input type="hidden" value="MultiFindOrderBrujaCoto.html" name="MULTIFINDFORM"></p> <table border="1" cellspacing="1" cellpadding="3"> <tr> <th class="doink13" colspan="2"> <div align="left"> Where shall we send the report?</div> </th> </tr> <tr> <td class="doink12"><b>Email Address : </b></td> <td class="doink12"><input name="INPUT2" size="30" type="text"></td> </tr> </table> <br> <table border="1" cellspacing="1" cellpadding="3"> <tr> <th class="doink13" colspan="2"> <div align="left">Tell us about the person who this report is for.</div> </th> </tr> <tr> <td class="doink12"><b>Name:</b></td> <td><input name="INPUT1" size="30" type="text"></td> </tr> <tr> <td class="doink12"><b>Gender:</b></td> <td class="doink12"><select name="GENDER" size="1"> <option value="Male">Male</option> <option value="Female">Female</option> </select></td> </tr> <tr> <td class="doink12"><b>Birth Date:<br> </b></td> <td class="doink12"> <select name="MONTH"> <option value="01" selected>January</option> <option value="02">February</option> <option value="03">March</option> <option value="04">April</option> <option value="05">May</option> <option value="06">June</option> <option value="07">July</option> <option value="08">August</option> <option value="09">September</option> <option value="10">October</option> <option value="11">November</option> <option value="12">December</option> </select> <select name="DAY"> <option value="01" selected>1</option> <option value="02">2</option> <option value="03">3</option> <option value="04">4</option> <option value="05">5</option> <option value="06">6</option> <option value="07">7</option> <option value="08">8</option> <option value="09">9</option> <option value="10">10</option> <option value="11">11</option> <option value="12">12</option> <option value="13">13</option> <option value="14">14</option> <option value="15">15</option> <option value="16">16</option> <option value="17">17</option> <option value="18">18</option> <option value="19">19</option> <option value="20">20</option> <option value="21">21</option> <option value="22">22</option> <option value="23">23</option> <option value="24">24</option> <option value="25">25</option> <option value="26">26</option> <option value="27">27</option> <option value="28">28</option> <option value="29">29</option> <option value="30">30</option> <option value="31">31</option> </select> <select name="YEAR"> <option value="1880">1880</option> <option value="1881">1881</option> <option value="1882">1882</option> <option value="1883">1883</option> <option value="1884">1884</option> <option value="1885">1885</option> <option value="1886">1886</option> <option value="1887">1887</option> <option value="1888">1888</option> <option value="1889">1889</option> <option value="1890">1890</option> <option value="1891">1891</option> <option value="1892">1892</option> <option value="1893">1893</option> <option value="1894">1894</option> <option value="1895">1895</option> <option value="1896">1896</option> <option value="1897">1897</option> <option value="1898">1898</option> <option value="1899">1899</option> <option value="1900">1900</option> <option value="1901">1901</option> <option value="1902">1902</option> <option value="1903">1903</option> <option value="1904">1904</option> <option value="1905">1905</option> <option value="1906">1906</option> <option value="1907">1907</option> <option value="1908">1908</option> <option value="1909">1909</option> <option value="1910">1910</option> <option value="1911">1911</option> <option value="1912">1912</option> <option value="1913">1913</option> <option value="1914">1914</option> <option value="1915">1915</option> <option value="1916">1916</option> <option value="1917">1917</option> <option value="1918">1918</option> <option value="1919">1919</option> <option value="1920">1920</option> <option value="1921">1921</option> <option value="1922">1922</option> <option value="1923">1923</option> <option value="1924">1924</option> <option value="1925">1925</option> <option value="1926">1926</option> <option value="1927">1927</option> <option value="1928">1928</option> <option value="1929">1929</option> <option value="1930">1930</option> <option value="1931">1931</option> <option value="1932">1932</option> <option value="1933">1933</option> <option value="1934">1934</option> <option value="1935">1935</option> <option value="1936">1936</option> <option value="1937">1937</option> <option value="1938">1938</option> <option value="1939">1939</option> <option value="1940">1940</option> <option value="1941">1941</option> <option value="1942">1942</option> <option value="1943">1943</option> <option value="1944">1944</option> <option value="1945">1945</option> <option value="1946">1946</option> <option value="1947">1947</option> <option value="1948">1948</option> <option value="1949">1949</option> <option value="1950">1950</option> <option value="1951">1951</option> <option value="1952">1952</option> <option value="1953">1953</option> <option value="1954">1954</option> <option value="1955">1955</option> <option value="1956">1956</option> <option value="1957">1957</option> <option value="1958">1958</option> <option value="1959">1959</option> <option value="1960">1960</option> <option value="1961">1961</option> <option value="1962">1962</option> <option value="1963">1963</option> <option value="1964">1964</option> <option value="1965">1965</option> <option value="1966">1966</option> <option value="1967">1967</option> <option value="1968">1968</option> <option value="1969">1969</option> <option value="1970">1970</option> <option value="1971">1971</option> <option value="1972">1972</option> <option value="1973">1973</option> <option value="1974">1974</option> <option value="1975">1975</option> <option value="1976">1976</option> <option value="1977">1977</option> <option value="1978">1978</option> <option value="1979">1979</option> <option value="1980">1980</option> <option value="1981">1981</option> <option value="1982">1982</option> <option value="1983">1983</option> <option value="1984">1984</option> <option value="1985">1985</option> <option value="1986">1986</option> <option value="1987">1987</option> <option value="1988">1988</option> <option value="1989">1989</option> <option value="1990" selected>1990</option> <option value="1991">1991</option> <option value="1992">1992</option> <option value="1993">1993</option> <option value="1994">1994</option> <option value="1995">1995</option> <option value="1996">1996</option> <option value="1997">1997</option> <option value="1998">1998</option> <option value="1999">1999</option> <option value="2000">2000</option> <option value="2001">2001</option> <option value="2002">2002</option> <option value="2003">2003</option> <option value="2004">2004</option> <option value="2005">2005</option> <option value="2006">2006</option> <option value="2007">2007</option> <option value="2008">2008</option> <option value="2009">2009</option> <option value="2010">2010</option> <option value="2011">2011</option> <option value="2012">2012</option> <option value="2013">2013</option> <option value="2014">2014</option> <option value="2015">2015</option> <option value="2016">2016</option> <option value="2017">2017</option> <option value="2018">2018</option> <option value="2019">2019</option> <option value="2020">2020</option> <option value="2021">2021</option> <option value="2022">2022</option> <option value="2023">2023</option> <option value="2024">2024</option> </select> </td> </tr> <tr> <td class="doink12"> <b>Birth Time:<br> </b>(Use 12pm if unknown)</td> <td class="doink15"> <select name="HOUR"> <option value="1">1</option> <option value="2">2</option> <option value="3">3</option> <option value="4">4</option> <option value="5">5</option> <option value="6">6</option> <option value="7">7</option> <option value="8">8</option> <option value="9">9</option> <option value="10">10</option> <option value="11">11</option> <option value="12" selected>12</option> </select> <b> :</b> <select name="MINUTE"> <option value="00" selected>00</option> <option value="01">01</option> <option value="02">02</option> <option value="03">03</option> <option value="04">04</option> <option value="05">05</option> <option value="06">06</option> <option value="07">07</option> <option value="08">08</option> <option value="09">09</option> <option value="10">10</option> <option value="11">11</option> <option value="12">12</option> <option value="13">13</option> <option value="14">14</option> <option value="15">15</option> <option value="16">16</option> <option value="17">17</option> <option value="18">18</option> <option value="19">19</option> <option value="20">20</option> <option value="21">21</option> <option value="22">22</option> <option value="23">23</option> <option value="24">24</option> <option value="25">25</option> <option value="26">26</option> <option value="27">27</option> <option value="28">28</option> <option value="29">29</option> <option value="30">30</option> <option value="31">31</option> <option value="32">32</option> <option value="33">33</option> <option value="34">34</option> <option value="35">35</option> <option value="36">36</option> <option value="37">37</option> <option value="38">38</option> <option value="39">39</option> <option value="40">40</option> <option value="41">41</option> <option value="42">42</option> <option value="43">43</option> <option value="44">44</option> <option value="45">45</option> <option value="46">46</option> <option value="47">47</option> <option value="48">48</option> <option value="49">49</option> <option value="50">50</option> <option value="51">51</option> <option value="52">52</option> <option value="53">53</option> <option value="54">54</option> <option value="55">55</option> <option value="56">56</option> <option value="57">57</option> <option value="58">58</option> <option value="59">59</option> </select> <select name="AMPM" size="1"> <option value="AM">AM</option> <option value="PM" selected>PM</option> </select> <br> </td> </tr> <tr> <td class="doink12"><b>Birth Place:<br> </b></td> <td class="doink12"><div align="left"> Town / City <input name="TOWN" size="25" type="text"> <br> Country <select name="COUNTRY"> <option value="AFG">Afghanistan</option> <option value="ALB">Albania</option> <option value="ALG">Algeria</option> <option value="ASAM">American Samoa</option> <option value="AND">Andorra</option> <option value="ANG">Angola</option> <option value="ANGU">Anguilla</option> <option value="ATG">Antigua & Barbuda</option> <option value="ARG">Argentina</option> <option value="ARMENI">Armenia</option> <option value="AUSTL">Australia</option> <option value="AUS">Austria</option> <option value="AZERBA">Azerbaijan</option> <option value="PORT">Azores (part of Portugal)</option> <option value="BA">Bahamas</option> <option value="BAHR">Bahrain</option> <option value="BANG">Bangladesh</option> <option value="BARB">Barbados</option> <option value="ATG">Barbuda (Antigua)</option> <option value="BELARU">Belarus</option> <option value="BEL">Belgium</option> <option value="BLZ">Belize</option> <option value="BENIN">Benin</option> <option value="BER">Bermuda</option> <option value="BHU">Bhutan</option> <option value="BOL">Bolivia</option> <option value="SAFR">Bophuthatswana</option> <option value="INDSA">Borneo</option> <option value="BOSNIA">Bosnia & Herzegovina</option> <option value="BOTS">Botswana</option> <option value="BRZ">Brazil</option> <option value="BLZ">British Honduras (Belize)</option> <option value="VI">British Virgin Islands</option> <option value="BRU">Brunei</option> <option value="BULG">Bulgaria</option> <option value="BKF">Burkina Faso</option> <option value="MYAN">Burma (Myanmar)</option> <option value="BDI">Burundi</option> <option value="CAMB">Cambodia (Kampuchea)</option> <option value="CAM">Cameroon</option> <option value="CAN">Canada</option> <option value="PAN">Canal Zone</option> <option value="CV">Cape Verde Islands</option> <option value="CAYI">Cayman Islands</option> <option value="CAR">Central African Republic</option> <option value="SLAN">Ceylon (Sri Lanka)</option> <option value="CHAD">Chad</option> <option value="CHILE">Chile</option> <option value="CHINA">China</option> <option value="SAFR">Ciskei</option> <option value="COL">Colombia</option> <option value="COMI">Comoros Islands</option> <option value="CONGO">Congo</option> <option value="ZAIRE">Congo Democratic Republic</option> <option value="CKIS">Cook Islands</option> <option value="CR">Costa Rica</option> <option value="CROAT">Croatia</option> <option value="CUBA">Cuba</option> <option value="CYP">Cyprus</option> <option value="CZEC">Czech Republic</option> <option value="BENIN">Dahomey</option> <option value="DEN">Denmark</option> <option value="JIB">Djibouti</option> <option value="DOM">Dominica</option> <option value="DR">Dominican Republic</option> <option value="EC">Ecuador</option> <option value="EGYPT">Egypt</option> <option value="IRE">Eire</option> <option value="ELS">El Salvador</option> <option value="UK">England</option> <option value="EQGU">Equatorial Guinea</option> <option value="ERITR">Eritrea (Ethiopia)</option> <option value="ESTON">Estonia</option> <option value="ERITR">Ethiopia</option> <option value="FRI">Faeroe Islands</option> <option value="FLI">Falkland Islands</option> <option value="FIJI">Fiji</option> <option value="FIN">Finland</option> <option value="FR">France</option> <option value="FRGU">French Guiana</option> <option value="FRPO">French Polynesia</option> <option value="GABON">Gabon</option> <option value="GAM">Gambia</option> <option value="GEORGI">Georgia</option> <option value="GER">Germany</option> <option value="GHANA">Ghana</option> <option value="GIB">Gibraltar</option> <option value="GRC">Greece</option> <option value="GRNL">Greenland</option> <option value="GREN">Grenada</option> <option value="GUAD">Guadeloupe</option> <option value="GUAM">Guam</option> <option value="GUAT">Guatemala</option> <option value="GUER">Guernsey</option> <option value="GUIN">Guinea</option> <option value="GUBI">Guinea-Bissau</option> <option value="GUY">Guyana</option> <option value="HAITI">Haiti</option> <option value="HON">Honduras</option> <option value="HK">Hong Kong</option> <option value="HUN">Hungary</option> <option value="ICE">Iceland</option> <option value="INDIA">India</option> <option value="INDSA">Indonesia</option> <option value="IRAN">Iran</option> <option value="IRAQ">Iraq</option> <option value="IRE">Ireland</option> <option value="NIRE">Ireland Northern</option> <option value="IMAN">Isle of Man</option> <option value="ISRL">Israel</option> <option value="ITALY">Italy</option> <option value="IVC">Ivory Coast</option> <option value="JAM">Jamaica</option> <option value="JAPAN">Japan</option> <option value="INDSA">Java</option> <option value="JER">Jersey</option> <option value="JIB">Jibuti</option> <option value="JOR">Jordan</option> <option value="CAMB">Kampuchea (Cambodia)</option> <option value="KAZAKH">Kazakhstan</option> <option value="KENYA">Kenya</option> <option value="KIRI">Kiribati</option> <option value="KUW">Kuwait</option> <option value="KYRGYZ">Kyrgyzstan</option> <option value="LAOS">Laos</option> <option value="LATV">Latvia</option> <option value="LEB">Lebanon</option> <option value="LESO">Lesotho</option> <option value="LIBR">Liberia</option> <option value="LIBY">Libya</option> <option value="LICT">Liechtenstein</option> <option value="LITH">Lithuania</option> <option value="LUX">Luxembourg</option> <option value="MACAU">Macao</option> <option value="MACED">Macedonia</option> <option value="MADA">Madagascar</option> <option value="MALW">Malawi</option> <option value="MLYS">Malaysia</option> <option value="MALD">Maldive Islands</option> <option value="MALI">Mali</option> <option value="MALTA">Malta</option> <option value="MARSHALL ISLANDS">Marshall Islands</option> <option value="MART">Martinique</option> <option value="MAUR">Mauritania</option> <option value="MAUS">Mauritius</option> <option value="MAYT">Mayotte</option> <option value="MEX">Mexico</option> <option value="MIDW">Midway Island</option> <option value="MOLDOV">Moldova</option> <option value="MONACO">Monaco</option> <option value="MONG">Mongolia</option> <option value="MNTS">Montserrat</option> <option value="MOR">Morocco</option> <option value="MOZ">Mozambique</option> <option value="OMAN">Muscat & Oman</option> <option value="MYAN">Myanmar</option> <option value="NAM">Namibia</option> <option value="NAURU">Nauru</option> <option value="NEPAL">Nepal</option> <option value="NETH">Netherlands</option> <option value="NANT">Netherlands Antilles</option> <option value="NCAL">New Caledonia</option> <option value="NZ">New Zealand</option> <option value="NIC">Nicaragua</option> <option value="NIGER">Niger</option> <option value="NIG">Nigeria</option> <option value="NIUE">Niue</option> <option value="NORF">Norfolk Island</option> <option value="NKOR">North Korea</option> <option value="UK">Northern Ireland</option> <option value="NOR">Norway</option> <option value="OMAN">Oman</option> <option value="PITT">Pacific Islands Trust Territory</option> <option value="PAK">Pakistan</option> <option value="PAN">Panama</option> <option value="PAPUA">Papua New Guinea</option> <option value="PAR">Paraguay</option> <option value="PERU">Peru</option> <option value="PHIL">Philippines</option> <option value="PITC">Pitcairn</option> <option value="POL">Poland</option> <option value="PORT">Portugal</option> <option value="GUBI">Portuguese Guinea</option> <option value="INDSA">Portuguese Timor</option> <option value="PR">Puerto Rico</option> <option value="QATAR">Qatar</option> <option value="REU">Reunion</option> <option value="ZIM">Rhodesia (Zimbabwe)</option> <option value="ROM">Romania</option> <option value="RUSSIA">Russia</option> <option value="RW">Rwanda</option> <option value="STKN">Saint Christopher(Kitts)-Nevis</option> <option value="STHEL">Saint Helena</option> <option value="STLU">Saint Lucia</option> <option value="STPM">Saint Pierre & Miquelon</option> <option value="STVI">Saint Vincent & Grenadines</option> <option value="SMAR">San Marino</option> <option value="SAOT">Sao Tome & Principe</option> <option value="SAUDI">Saudi Arabia</option> <option value="UK">Scotland</option> <option value="SEN">Senegal</option> <option value="SERBIA">Serbia & Montenegro</option> <option value="SEY">Seychelles</option> <option value="SL">Sierra Leone</option> <option value="SING">Singapore</option> <option value="SLOVAK">Slovakia</option> <option value="SLOVEN">Slovenia</option> <option value="SOLIS">Solomon Islands</option> <option value="SOM">Somalia</option> <option value="SAFR">South Africa</option> <option value="SGEO">South Georgia & S.Sandwich</option> <option value="SKOR">South Korea</option> <option value="NAM">South West Africa (Namibia)</option> <option value="YEMEN">Southern Yemen</option> <option value="SPAIN">Spain</option> <option value="SPAIN">Spanish North Africa</option> <option value="SLAN">Sri Lanka</option> <option value="SUDAN">Sudan</option> <option value="SUR">Surinam</option> <option value="SWAZ">Swaziland</option> <option value="SWED">Sweden</option> <option value="SWTZ">Switzerland</option> <option value="SYRIA">Syria</option> <option value="TAIW">Taiwan</option> <option value="TAJIKI">Tajikistan</option> <option value="TANZ">Tanzania</option> <option value="THAI">Thailand</option> <option value="TOGO">Togo</option> <option value="TOKIS">Tokelau Island</option> <option value="TONGA">Tonga</option> <option value="SAFR">Transkei</option> <option value="TRIN">Trinidad & Tobago</option> <option value="TUN">Tunisia</option> <option value="TUR">Turkey</option> <option value="TURKME">Turkmenistan</option> <option value="TCI">Turks & Caicos Islands</option> <option value="TUV">Tuvalu Islands</option> <option value="USA" selected>USA</option> <option value="UK">U.K. England</option> <option value="UK">U.K. N.Ireland</option> <option value="UK">U.K. Scotland</option> <option value="UK">U.K. Wales</option> <option value="UG">Uganda</option> <option value="UKRAIN">Ukraine</option> <option value="UAE">United Arab Emirates</option> <option value="BKF">Upper Volta (Burkina Faso)</option> <option value="UR">Uruguay</option> <option value="UZBEK">Uzbekistan</option> <option value="VANU">Vanuatu</option> <option value="ITALY">Vatican City</option> <option value="VENDA">Venda</option> <option value="VEN">Venezuela</option> <option value="VIET">Vietnam</option> <option value="VI">Virgin Islands</option> <option value="WAKE">Wake Island</option> <option value="UK">Wales</option> <option value="WALF">Wallis & Futuna</option> <option value="GER">West Germany</option> <option value="MOR">Western Sahara (Morocco)</option> <option value="WSAM">Western Samoa</option> <option value="YEMEN">Yemen (N & S)</option> <option value="ZAIRE">Zaire</option> <option value="ZAM">Zambia</option> <option value="ZIM">Zimbabwe</option> </select> <br> State (USA only) <select name="STATE"> <option value="" selected>-- none --</option> <option value="AL">Alabama</option> <option value="AK">Alaska</option> <option value="AZ">Arizona</option> <option value="AR">Arkansas</option> <option value="CA">California</option> <option value="CO">Colorado</option> <option value="CT">Connecticut</option> <option value="DE">Delaware</option> <option value="DC">District of Columbia</option> <option value="FL">Florida</option> <option value="GA">Georgia</option> <option value="HI">Hawaii</option> <option value="ID">Idaho</option> <option value="IL">Illinois</option> <option value="IN">Indiana</option> <option value="IA">Iowa</option> <option value="KS">Kansas</option> <option value="KY">Kentucky</option> <option value="LA">Louisiana</option> <option value="ME">Maine</option> <option value="MD">Maryland</option> <option value="MA">Massachusetts</option> <option value="MI">Michigan</option> <option value="MN">Minnesota</option> <option value="MS">Mississippi</option> <option value="MO">Missouri</option> <option value="MT">Montana</option> <option value="NE">Nebraska</option> <option value="NV">Nevada</option> <option value="NH">New Hampshire</option> <option value="NJ">New Jersey</option> <option value="NM">New Mexico</option> <option value="NY">New York</option> <option value="NC">North Carolina</option> <option value="ND">North Dakota</option> <option value="OH">Ohio</option> <option value="OK">Oklahoma</option> <option value="OR">Oregon</option> <option value="PA">Pennsylvania</option> <option value="PR">Puerto Rico</option> <option value="RI">Rhode Island</option> <option value="SC">South Carolina</option> <option value="SD">South Dakota</option> <option value="TN">Tennessee</option> <option value="TX">Texas</option> <option value="UT">Utah</option> <option value="VT">Vermont</option> <option value="VA">Virginia</option> <option value="WA">Washington</option> <option value="WV">West Virginia</option> <option value="WI">Wisconsin</option> <option value="WY">Wyoming</option> </select> </div></td> </tr> </table> <p><span class="doink12"><b> <input name="Submit" type="submit" size="20" value="Submit"> </b> <input type="reset" size="20" value="Clear Form"> </span></p> </form> <!-- end form code -->
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