Step 1: Enter your information

Step 2: Confirm your information

Step 3: Process your order

Secure Online Acceptance Form

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

It contains:

  • 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 36 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 your Bonus 67 page PDF "The Conception Success Handbook - Your Guide to Preparing for Pregnancy and Conceiving with Confidence"

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:

Your Personal Information
Your First Name:
Your Last Name:
Your Email Address:
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Your Telephone Number:
Your Birth Information
Town and State of Birth:
Country of Birth:
Date of Birth: ,
Time of Birth: : <-- AM/PM
Help on Time of Birth
Timezone of Birth:
Standard or Daylight Savings Time: Standard Daylight Savings Don't Know
What if I don't know if I was born in Standard or Daylight Time?
Current Information
Timezone Where You
Will Be Living:
(for the next 12 months)
Standard or Daylight Savings Time: Standard Daylight Savings
Date of First Day of Last Menstruation / Period: ,
Average Length of Cycle:
(in days)

Help on average length of cycle
Date of Last Ovulation:
(before your last period, if known)
Your Current Address Details
Postal Address:
ZIP / Post Code
Pay with Paypal
Payment Option: Paypal is our preferred Payment Option
Amount:USD $49.95
Or the equivalent in Australian dollars. Your bank may charge a small currency conversion fee.
Secure Transaction

Note: You will be able to view and edit your information on the
next page before confirming your order.

Once we have your data, we will compile your report
personally, ensuring its accuracy and we will send your DOWNLOAD link via email with 1 business day.

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 266725904 during Business Hours Australian Eastern Time.

If you would prefer not to send your credit card details via our secure server - you may complete this form, print it out and FAX it to 07 55187649 or International +61 7 55187649

Post it to - PO Box 5197 South Murwillumbah NSW 2484 Australia


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