Name *

First Name

Last Name

Please Select Your Consultation Package *

Two-Cents ($50)

Input ($350)

Plugged In ($850)

Payment Agreement (Please Read Below) *

An invoice will be sent to your email upon receipt of your booking form submission. 50% of your payment is required before your initial consultation as a non-refundable security deposit. The remaining balance must be paid within 24 hours following your consultation (Two-Cents Package) or before the final consultation (Input or Plugged In Package). Failure to send the first 50% payment mentioned will result in a postponed consultation until the payment is made. If you agree to this payment payment agreement please select yes.

Yes