MoonCircles.com

Twelve Moons

Credit card payments are accepted through PayPal:

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Complete and submit the form below.
You will then be automatically redirected to a page with a Pay Pal ordering button.

If you wish to pay by check:

Complete and submit the form below; you will then be taken to a page with payment instructions.

Prices
	By Email	By Mail (U.S.)	By Mail (International)
One Cycle	$28.00	$30.00	$31.00
Three Cycles	$56.00	$62.00	$65.00
One Full year	$149.00	$173.00	$185.00

Complete and submit the form below. Your Workshop will begin at the New Moon following the date I receive your payment.
I look forward to sharing the Moon with you!

ALL FIELDS REQUIRED

You Are:
Your Name:
E-Mail Address: Please type carefully! We can't process your order without a valid email address.
Method of Payment:	Check PayPal
Please send: (select one)	one cycle three cycles one full year
The Workshop is For:
First Name
Last Name
*Date of Birth
Verified Time of Birth
City/State/Country of Birth
City/State Where You're Currently Living
Optional: Indicate your House System preference (I will use Koch unless you specify another)
Mail the Workshop to:
Name:
Method of Mailing:	First class mail, to address listed below Email
Complete the following section for first class mail orders only
Address:
City
State:
Zip:
Country:

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