Love Report Order Error – Date-Fax & Complete Report

Made an error in your order? Please fill out and return this form to us. We’ll re-send your corrected relationship report as soon as possible!

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This field is for validation purposes and should be left unchanged.
Name*
First Last
Email*
Enter Email Confirm Email
Order Date*
MM slash DD slash YYYY
Order Number*
Get this from your order confirmation email. #xxxxx.
Product Ordered*
What info was incorrect in your order?*
Corrected Info
Person 1 Name*
Person 1 Birth Date*
Month
Day
Year
Person 1 Birth Time*
- Birth Certificate
- Memory
- Unknown or Unavailable
Person 1 Birth Time

: Hours

Minutes

AM/PM
Person 1 Birth Location if known
City State / Province / Region Country
Person 2 Name*
Person 2 Birth Date*
Month
Day
Year
Person 2 Birth Time*
- Birth Certificate
- Memory
- Unknown or Unavailable
Person 2 Birth Time

: Hours

Minutes

AM/PM
Person 2 Birth Location if known
City State / Province / Region Country