Signup

To sign up for a service, please fill out the form, below. Before paying, we will contact you about availability. Further instructions will be given at that time. We typically respond within one business day. Please check your spam folder and include a phone number so that we can reach you.

The * denotes a required field.

Name:*

E-mail:*

Phone:*

Skype ID:

Do you have an Android phone or iPhone?:*

Which service are you interested in?*

If you are interested in an individual accent reduction training program (without live instruction), please choose from the following:

If you are interested in accent reduction (+/- communication coaching) live Skype sessions, please choose from the following:

If you are interested in Collaborative Communication live Skype or phone sessions, please choose from the following:

Individual or group sessions?* (Note: Only live instruction programs have group options)

For group only
Please list name(s) of the other participant(s):
(Additional person(s) must sign up as well.)

So that we can schedule based on your local time, what city, state (if applicable), and country are you in?*

Based on your local time, what days and times are you available for
scheduling?*

What is your native language?*

Who referred you? (If a client referred you, please provide his/her name.)

What are your goals or reasons for this service?

Any further comments/questions?