Marriage Makes 3 - Encounter Session

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Marriage Makes 3 - Encounter Session - 15 Minutes FREE***

Thank you for requesting this time with us. We want to serve you well, so please take a few moments to answer a few questions below. Let's chat!

Phone Number *

Is this an individual or couple session? *

Single

Couple

What is your Name & If applicable the other persons name *

How did you find out about MM3?

What one issue is most pressing? We want to be sure because of time limitations that we are pinpointing the issue we can help with today. *

We use a Conference Call Application in order to see and hear you, along with recording the session for review. You can join online or via smartphone. Are you in agreement? If no, please state reason below. *

Which of the following days are the best for your Encounter Session? *

Tuesday

Thursday

What is the best time for your Encounter Session? Please remember All Sessions are CENTRAL STANDARD TIME. *

Between 10 a.m. - 12:00 p.m.

Between 1:00 p.m. - 5:30 p.m.

Between 6:00 p.m. - 8:00 p.m.

Other:

Yearly Income: *

$10,000 - $30,000

$30,000 - $50,000

$50,000 - $80,000

$80,000 - $100,000

$100,000+

Other:

Thank you for trusting us with your individual and/or couples counseling needs! We look forward to being able to empower you to walk in victory! Blessings! Pastor Greg & Pastor Michelle PLEASE HIT SUBMIT!!!

Once this form is completed you will be click the link to our calendar to schedule yourself for your session.

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