Personality Profile and 12 Month Numerology Forecast Chart NZ Full Original Birth Certificate Name* Exactly as it appears on your original birth certificate (even if you were adopted), regardless of whether you currently use this name today or not. If this information is incorrect the report will be incorrect also.Your Date of Birth: Day*12345678910111213141516171819202122232425262728293031Month*JanuaryFebruaryMarchAprilMayJuneJulyAugustSeptemberOctoberNovemberDecemberYear*Current First and Last Name Used Today :* First Last Your Email Address :* Country*AfghanistanAlbaniaAlgeriaAmerican SamoaAndorraAngolaAntigua and BarbudaArgentinaArmeniaAustraliaAustriaAzerbaijanBahamasBahrainBangladeshBarbadosBelarusBelgiumBelizeBeninBermudaBhutanBoliviaBosnia and HerzegovinaBotswanaBrazilBruneiBulgariaBurkina FasoBurundiCambodiaCameroonCanadaCape VerdeCentral African RepublicChadChileChinaColombiaComorosCongo, Democratic Republic of theCongo, Republic of theCosta RicaCôte d'IvoireCroatiaCubaCyprusCzech RepublicDenmarkDjiboutiDominicaDominican RepublicEast TimorEcuadorEgyptEl SalvadorEquatorial GuineaEritreaEstoniaEthiopiaFijiFinlandFranceGabonGambiaGeorgiaGermanyGhanaGreeceGreenlandGrenadaGuamGuatemalaGuineaGuinea-BissauGuyanaHaitiHondurasHong KongHungaryIcelandIndiaIndonesiaIranIraqIrelandIsraelItalyJamaicaJapanJordanKazakhstanKenyaKiribatiNorth KoreaSouth KoreaKuwaitKyrgyzstanLaosLatviaLebanonLesothoLiberiaLibyaLiechtensteinLithuaniaLuxembourgMacedoniaMadagascarMalawiMalaysiaMaldivesMaliMaltaMarshall IslandsMauritaniaMauritiusMexicoMicronesiaMoldovaMonacoMongoliaMontenegroMoroccoMozambiqueMyanmarNamibiaNauruNepalNetherlandsNew ZealandNicaraguaNigerNigeriaNorwayNorthern Mariana IslandsOmanPakistanPalauPalestinePanamaPapua New GuineaParaguayPeruPhilippinesPolandPortugalPuerto RicoQatarRomaniaRussiaRwandaSaint Kitts and NevisSaint LuciaSaint Vincent and the GrenadinesSamoaSan MarinoSao Tome and PrincipeSaudi ArabiaSenegalSerbia and MontenegroSeychellesSierra LeoneSingaporeSlovakiaSloveniaSolomon IslandsSomaliaSouth AfricaSpainSri LankaSudanSudan, SouthSurinameSwazilandSwedenSwitzerlandSyriaTaiwanTajikistanTanzaniaThailandTogoTongaTrinidad and TobagoTunisiaTurkeyTurkmenistanTuvaluUgandaUkraineUnited Arab EmiratesUnited KingdomUnited StatesUruguayUzbekistanVanuatuVatican CityVenezuelaVietnamVirgin Islands, BritishVirgin Islands, U.S.YemenZambiaZimbabweContact Number*Payment Options*I reside in New Zealand and will pay by Bank DepositI will pay by Credit Card or PayPalOnce you submit your order form successfully, you will be able to pay using your Credit Card or PayPal account. Please note : Reports will not be processed until confirmation of payment has been made.Thank you for your order. The bank account details for your $25 payment are as follows: POSITIVE POWER CONSULTING ASB Bank, Ponsonby Account Number : 12-3019-0769796-00 Please provide your 'Name' as a reference when making your deposit. Your report will be sent to you upon confirmation of cleared funds.Please Note: I process every report personally and manually, and do my very best to ensure your report is delivered within 24 hours (36-48 hours at the most, if I am overseas). Processing your report is my number one priority however, I ask that you please take the time difference in New Zealand into consideration when placing your order as it may be the middle of the night. Thank you for your order and patience.