Garbhadhana Samskara

(Concieving virtuous children)

Request Form

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We want to have our charts examined to determine our karma in regards to children ($300):

We want to find out the best time to perform the Garbhadhana Samskara ($200): (For one menstrual period)

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Data required for Garbhadhana Samskara

Husband:

First Name:
Last Name:
Initial:
Name at birth if different from above:
Sex:	Male Female
Birth Data:	Please note that if the time or date of birth are unknown or inaccurate then we will have to rectify the chart.
Date of Birth:	Day Month Yr
Time of Birth:	Hours Minutes (military time)
Source of birth time (hospital record, birth certificate, mother's memory, other)
	Place of Birth:
City:
State/Province:
Country:
	If born in a small village give the name of the nearest town and approximate distance:
Nearest large town:
Distance from birth place:	in miles.

Wife:

First Name:
Last Name:
Initial:
Name at birth if different from above:
Sex:	Male Female
Birth Data:	Please note that if the time or date of birth are unknown or inaccurate then we will have to rectify the chart.
Date of Birth:	Day Month Yr
Time of Birth:	Hours Minutes (military time)
Source of birth time (hospital record, birth certificate, mother's memory, other)
	Place of Birth:
City:
State/Province:
Country:
	If born in a small village give the name of the nearest town and approximate distance:
Nearest large town:
Distance from birth place:	in miles.

Information about the wife's menses

The following information should be provided (preferably by the husband) as soon as it is known so that the astrologer has ample time to calculate the time for the Garbhadhana Samskara and choose a date before the cycle is over. To increase the likelihood of pregnancy it is beneficial to know at least approximately when the woman ovulates so that we have the option to pick 3-4 days before and after the approximate the day of ovulation. (Sperm can survive for as long as five (5) days inside the woman’s body, but the ovum only lasts for one day. But since the time of ovulation is approximate we have to take that into account.) To find out more about how to calculate when you will ovulate please visit these websites:

Understanding Ovulation

Ovulation calculator

Ovulation testing kits: This or similar ovulation testing kits can be used for zeroing in on the most fertile periods. You would have to contact me immediately when it shows the optimum time. (Full disclosure. I have no relationship with this company you can use any testing kit that you deem appropriate, or not use any as you see fit.)

When did the menses commence? This time (if known) will be determined by the wife. She knows her body, when she considers that it has started, that is when it started.

Date of menses: day month

Time of menses: hour minute

I need to know the approximate date of ovulation, using the links above do your best to estimate when your next ovulation will be.

Estimated date of next ovulation: day month

Where will the Samskara take place: (city, country)

Do you have restrictions about times when you would not want to perform this sacrament? Yes No

If yes, what are they?

Payment Method:

First name:
Last name:
Initial:
Account number:	(no spaces)
Expiration date:	Month Year
Card Verification Number	What is that?
Amount:
Billing address:
Apt #:
City:
State/Province:
Country:
Zip/Postal Code:
Telephone:
Country Code:

Check all birth data. Please read
the following carefully.

Have you included your email address as requested at the beginning of this form? We need it to contact you.

Before submitting this form please review all the information you have provided especially your birth data. We assume that the information you provide is correct. Errors or mistakes in this regard are your responsibility. If the chart has to be done again because you gave wrong data it will be done as new chart at full price. So get it right the first time.

Also please note that when you submit this form it is not automatically processed. Why is that important to you? Because that means that your card will not be automatically debited, in other words you will not be charged until after the work is done, however a pre-authorization will be done just before commencing the work to lock in the funds.

To recognise the transaction on your credit card statement the billing descriptor will be "Shyamasundara Dasa."

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