Get pregnant naturally using lunar fertility order form

Yes! I want access to my own, personalized Conception Action Pack

I understand that my Conception Action Pack contains all of the following information to help me conceive:

My individual lunar fertile time, accurate to the nearest minute.
Details of the exact dates and times (accurate to the nearest minute) for my upcoming lunar fertile times for the next 12 months.
Analysis of my current fertility situation.
Complete supporting information and tips so I can use the moon to boost my conception chances each and every cycle .
Full email support
PLUS my Bonus 67 page PDF "The Conception Success Handbook - Your Complete Guide to Preparing for Pregnancy and Conceiving with Confidence" valued at $29.95

I also understand that I'm covered by your no-questions-asked, 60 day money-back guarantee. If for any reason I'm not satisfied with the report and information I receive, I can simply email you any time for a prompt and full refund of the entire purchase price.

Here are the details you need to process my order:

A note on the Information we need to complete your Order -

To complete your Personalised Conception Action Pack we need to gather some Personal Data from you including your Name, Birth Data, Menstrual Data and Address. You will then be taken to our online shop to submit your payment details for the

C A P for 12 months AUD $49.95 (approx US$39.00)

We understand that your privacy is important and would like to re-assure you that your data is collected and stored securely and that it is never, ever given out to any third party. We only use your information to process your order and complete your Conception Action Pack.

If you have any questions about giving us your data please feel free to call us on +61 2 66723065 during Business Hours Australian Eastern Time.

No postage charge is necessary as the product is sent via email.

Your Name
Email Address
Day of Birth
Month of Birth
Year of Birth
Time of birth
AM or PM, please select	AM PM
Time Zone of Town of Birth (if known)
Standard or Daylight Savings Time, please select	Standard Daylight
Town of Birth
Next largest town
State
Country
Town and Country, where you will be living for the next 12 months
Date of First Day of last Menstruation / Period DD/MM/YY
Length of Whole Menstrual Cycle (Day 1 of bleeding to next Day 1 of bleeding approximately)
Date of Last Ovulation BEFORE last period (if known) DD/MM/YY
Conception history, Comments or Feedback
Please double check your data before submitting form, as no responsibility is taken for incorrectly supplied data. Menstruation.com.au will not be held responsible for any claims in relation to fertility, conception or contraception. Submission of this form is an agreement to the above terms.