Instant Analysis with Check-by-Fax

Check By Fax Order Form

Character & Personality Trait
Graphology Code

Online Guide-$19.95

Fax to (213) 845-0136

Name ________________________________________________________

Address _______________________________________________________

________________________________________________________

City ________________________________________________________

State ___________ Zip ______ Telephone (_____)_______________________

E-mail___________________________
                                  
Drivers License: ________________________________________________________
Date Of Birth: _______________________
Social Security Number: __________________________________   
YOU MUST FAX A VOIDED CHECK ALONG WITH YOUR ORDER 
Print out this form, and fax the completed information, copy of voided check,
and fax to (213) 845-0136. We will e-mail you the passcode to access the 
Personality and Character Trait Graphology Code.
We are sorry, but we can only accept United States checking accounts with
Check-by-Fax service. 
If you can't print out this form, that's okay. Just make sure to provide
the necessary information.