Step 1: Choose your Session Type

The Thirty $50 To Reserve An Appointment
The Sixty $75 To Reserve An Appointment
Senior Choice $100 To Reserve An Appointment

Step 2: Fill out your reservation information
Full Name:
Mailing Address:
City:
State:
 		Zip Code:
Home Phone Number:
Cell Phone Number:
My e-mail address is:
Verify e-mail address:
School You Attend:
Comments/Questions:

Appointment Information
Month
(1ST Choice)
Month
(2ND Choice)
Day of Week
(1ST Choice)
Day of Week
(2nd Choice)
Preferred Time
Confirmation
Payment Type

Payment Type (how will you be paying?)

The reservation fee must be paid by credit card or received by mail within 5 days or your appointment will be canceled. After submitting this page, you will be taken to a payment options page.

 
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