Client Contact Details

Thank you for booking with Dan Hardie Counselling and Coaching. We do need to collect your full contact details so please fill in the form below.

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MY DETAILS:

Stage of Life of client: (you may choose more than one)
StudentWorking part timeWorking full timeCurrently not employedSingleIn a relationshipMarriedSeparated/DivorcedI have children

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Payment Amount (incl GST):
$120 normal rate
10% discount for 3 session package - $324
$160 couples or family 90 min session

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