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<h1 style="text-align:center; color:#000;">Astrology and Vaastu Services</h1>

<p style="text-align:center; font-size:26px; color:black; line-height:34px;">I Provide <strong>1.Horoscope Consultation</strong> <strong>2.Birth Chart (Kundali)</strong> <strong>3.Remedies (Gemstones, Shanti Puja &amp; Homam)</strong>  <strong>4.Muhurtham (Auspicious Times)</strong> <strong>5.Match Making</strong> <strong>6.Vaastu consultation</strong>.<br/>Please select your service from the drop down, pay and send requested details below.</p>

    <p class="text-center"><strong> * Consultation will be done 1.in Person 2.by Phone 3.Google Hangout 4.Skype 5.Whatsapp etc</strong></p>

<div class="span2">&nbsp;&nbsp;&nbsp;</div>

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<td><input type="hidden" name="on0" value="Astrology Service Needed:">Astrology Service Needed:</td>

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<td>

<select name="service" style="width: 100%;"><option value="Horoscope Consultation">Horoscope Consultation $0.00 USD</option><option value="Birth Chart / Kundali">Birth Chart / Kundali $0.00 USD</option><option value="Match Making">Match Making $0.00 USD</option><option value="Gem Stones">Gem Stones $0.00 USD</option></select></td>

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<form action="vastins.php" method="post" enctype="multipart/form-data">
 <div class="form-group">
    <label class="span2">Applicant Name :</label>
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    <label class="span2">Applicant Email :</label>
    <input type="email" name="cemail" required placeholder="Care of Email" class="span4">
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    <label class="span2">Applicant Phone :</label>
    <input type="text" name="cphone" required placeholder="Care of Phone" class="span4">
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    <label class="span2">Client Name :</label>
    <input type="text" name="firstname" required placeholder="Name" class="span4">
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    <label class="span2">Address :</label>
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    <div class="form-group">
    <label class="span2">Phone Number :</label>
    <input type="text" name="pnumber" required placeholder="Phone Number" class="span4">
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    <label class="span2">Email Id :</label>
	<input type="email" name="email" required placeholder="Email Id" class="span4">
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    <label class="span2">Countrie :</label>
    <select id="country" size="1" name="countries" placeholder="Countrie" class="span4">
       <option value="">Select Country</option>
    <?php
	
	$query =mysql_query("SELECT * FROM countries WHERE status = 1 ORDER BY country_name ASC");

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$rowCount = mysql_num_rows($query);
	
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            echo '<option value="'.$row['country_id'].'">'.$row['country_name'].'</option>';
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    }else{
        echo '<option value="">Country not available</option>';
    }
    ?>
    </select>
    </div>
    
   <div class="form-group">
    <label class="span2">State :</label>
    <select id="state" size="1" name="state" placeholder="state" class="span4">
        <option value="" selected="selected">-- Select State--</option>
    </select>
   </div>
   
   <div class="form-group">
    <label class="span2">City  :</label>
    <select id="city" size="1"  name="City" placeholder="City" class="span4">
        <option value="" selected="selected">-- Select City--</option>
    </select>
   </div>
   <div class="form-group">
    <label class="span2">Nearest City / Town</label>

<!--<div class="span3" style="margin-left:7px; font-size:15px; font-weight:bold">Date Of Birth</div>--->
<input type="text" id="FromDate" name="neartown" class="span4"/>
	</div>
 
<div class="form-group">
    <label class="span2">Date Of Birth :</label>

<!--<div class="span3" style="margin-left:7px; font-size:15px; font-weight:bold">Date Of Birth</div>--->
<input type="date" id="FromDate" name="dofbirth" value="24/09/2018" class="span4"/>
	</div>

	<!--<input type="text" name="doftime" placeholder="Time Of Birth" class="span3">-->
    <div class="span2" style="font-size: 14px;
    font-weight: normal;
    line-height: 20px; color:#000">Time Of Birth</div>
<select name="doftime" style=" width:133px; height:35px;">
<option value="01 Hours">01 Hours</option>
<option value="02 Hours">02 Hours</option>
<option value="03 Hours">03 Hours</option>
<option value="04 Hours">04 Hours</option>
<option value="05 Hours">05 Hours</option>
<option value="06 Hours">06 Hours</option>
<option value="07 Hours">07 Hours</option>
<option value="08 Hours">08 Hours</option>
<option value="09 Hours">09 Hours</option>
<option value="10 Hours">10 Hours</option>
<option value="11 Hours">11 Hours</option>
<option value="12 Hours">12 Hours</option>
</select>
<select name="dofsec" style=" width:133px; height:35px;">
<?php for($i=0;$i<=60;$i++){ ?>
<option value="<?php echo $i; ?> Mins"><?php echo $i; ?> Mins</option>
<?php } ?>
</select>
<select name="dofampm" style=" width:133px; height:35px;">
<option value="AM">AM</option>
<option value="PM">PM</option>
</select>
	
	



	<select id="" name="services" class="form-control" style="width: 70%;height: 45px;">

      <option value="1.Horoscope Consultation">1.Horoscope Consultation</option>

      <option value="2.Birth Chart (Kundali)">2.Birth Chart (Kundali)</option> 

      <option value="3.Remedies">3.Remedies</option> 

      <option value="4.Muhurtham (Auspicious Times)">4.Muhurtham (Auspicious Times)</option> 

      <option value="5.Match Making">5.Match Making </option>

      <option value="6.Vaastu consultation">6.Vaastu consultation</option>

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<h3>What We Offer</h3>



<ul class="ul1">

  <li><a href="homams.php">Sri Vaishnavite Pujas List</a></li>

	<li class=""><a href="north_indian_puja.php">North Indian Pujas List</a></li>

	<li><a href="south_india_puja.php">South Indian Pujas List</a></li>		

	<li><a href="Classes.php"> Classes</a></li>                                          

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