The “Drop-In Plan” Name First Last PhoneEmail Booking Date YYYY dash MM dash DD Time10:00 AM10:30 AM11:00 AM11:30 AM12:00 PM12:30 PM01:00 PM01:30 PM02:00 PM02:30 PM03:00 PM03:30 PM04:00 PM04:30 PM05:00 PM05:30 PM06:00 PMThe “Drop-In Plan” The “Drop-In Plan” $149.99 /Month This plan includes: A subscription to a 30-minute session of conversation once a week for a month.Payment InformationCredit CardCard Details Cardholder Name Credit Card American ExpressDiscoverMasterCardVisaSupported Credit Cards: American Express, Discover, MasterCard, Visa Card Number Expiration Date Month Month010203040506070809101112 Year Year20252026202720282029203020312032203320342035203620372038203920402041204220432044 Security Code Cardholder Name Total
