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About Personal Consultations
 
Personal consultations are available via phone or e-mail. After you fill in the form below you will be contacted by e-mail to setup an appointment for a phone consultation. Or, for an e-mail consultation you will be given an e-mail address via return e-mail.

Consultation Request Form
 Click Here for Background Information

INSTRUCTIONS

STEP 1.
Enter your e-mail address and name.

USE ONLY THE <TAB KEY>, DO NOT USE <ENTER KEY>

E-mail Address (Req'd)

Name

STEP 2.
CHECK PHONEOR EMAIL REQUEST

 
PHONE CONSULTATION:        Pleasecontact me to schedule a consultation via telephone. 

Directions:

  • You will be contacted by return e-mail to set up an appointment for a phone consultation.
  • The billing rate is $60.00 US per half hour or fraction thereof. 
  • Consultations are by appointment only.
  • Client is responsible for the telephone charges.
  • You will be asked your credit card at the beginning of the call. Your credit card will be billed upon the completion of each consultation. 
  • We accept Visa, MasterCard, American Express, and Discover Card
  • Enter a personal message here:
 
EMAIL CONSULTATION:        Pleaseanswer my e-mail consult request below. 

Directions:

  • Describe the situation and list any questions.

  • The billing rate on a time as required basis is $60.00 US per half hour or fraction thereof.
  • Your credit card will be billed upon the completion of each e-mail consultation. 

USE ONLY THE <TAB KEY>, DO NOT USE <ENTER KEY>!

  • Credit Card Number- required
  • Expiration Date       - required
  • We accept Visa, MasterCard, American Express, and Discover Card
 

STEP 4.
PRESS SUBMIT BUTTON SEND YOUR REQUEST...

Consultations are educational experiences, not therapy ormedical treatment. Registration presumes each participant takes responsibilityfor their own experience. By submitting this registration form, you agree tothese terms and conditions.


[You will see a Confirmation Message if the submissioncompleted successfully.]


 

   
 

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