The Web Counseling Site Index

WebCounseling Registration Form

Directions: Please complete this form then click on the submit button at the bottom of this page.

OPTIONAL: To give the bidding WebCounselor an idea of how much time is involved, use the comments section to describe that which you wish help with. Input in the space provided below an amount that you'd like to pay for each session. A session is a variable amount of emails that would constitute a traditional session, which is approximately one hour.

Input the amount that you would like to pay in US Dollars per session

E-mail address

Important! Please be sure to get your email address correct or you wont get a response! For example: myemailname@myprovider.com

Personal Information

First name

Last name

Country

Day Phone

Evening Phone

Cell Phone

Comments

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