Client Fact Sheet

Request for consultation

(An asterisk ( * ) indicates a required field)

Contact Information

Would you like to schedule a consultation session in-person, or by telephone?*
In Person Telephone 

If in person, preferred city

First Name*

Last Name*

City*

State*

Zip Code*

Country

Telephone Number *

E-mail Address*

Website Address (location of imagery to be reviewed by MVS in advance)

Other Information

Have you attended a workshop presented by Mary Virginia Swanson in the last two (2) years? *
Yes No 

If yes, when and where?

Have you attended a lecture presented by Mary Virginia Swanson in the last two (2) years? *
Yes No 

If yes, when and where?

Short description of goals for working with Ms. Swanson

Additional Comments

Do you currently have a project deadline? *
Yes No 

If yes, please-specify?

How did you learn about Mary Virginia Swanson? (check all that apply)
Referral Website Advertisement Publication 

Referral details?

Terms & Conditions

A two-hour minimum is required for all first-time clients. The fee is currently $600 ($300/hr x 2 hrs). After this initial consultation period is completed, clients may schedule additional time as needed for as little as fifteen minutes (see the rate schedule on the Geting Started page.

Payment in full is expected at the end of each in-person consultation session via check, cash, money order or payment with credit card. *After your session is completed, go to the payment options section of the website, and select the appropriate payment category (according to time session with Ms. Swanson).

Payment for telephone consultations: If the session was on the telephone or via email, you will receive an invoice shortly following the remote sessions. *After your session is completed, go to the payment options section of the website, and select the appropriate payment category (according to time session with Ms. Swanson). *If the billing address for your credit card is outside the U.S.A., Mexico or Canada, you will need to open a Paypal account, and once established send payment in full to our paypal Account which is called M. V. Swanson & Assoicates.

A 25% cancellation fee may be charged if less than five (5) business days notice are given and the appointment cannot be filled.

By checking Accept Terms and submitting this form I agree to the above terms
Accept Terms