Appointment Request Form

Please choose a date (weekdays only) and time for your online appointment, all attempts will be made to fill requested slots.
To begin, only Thursday afternoon and Friday sessions will be scheduled, all times are Central Standard Time.
Someone will contact you to finalize the details for your session.

System Requirements: The video conference software does not work on Microsoft's Internet Explorer, a more secure browser is required.
Firefox, Chrome, Safari, Konqueror, Midori, Lynx, Gnome and Opera all work just fine.
You must have both a camera and microphone installed for the session to run.

Pricing: $300/30 minute and $50/additional quarter hour

Select Month:
     Select Day:     Select Time:

First Name:                 Last Name:

                         Phone Number:
         Email Address: