Jacobs & Whitehall
Jacobs & Whitehall

Speak A Book Complete


YES! Hold a provisional spot for me in the Speak-a-Book project calendar. I’m interested in authoring a book, and I want to lock in my place NOW while I wait for my discovery consultation. (I understand that if I decide not to go ahead and get my book written, the $500 deposit will be refunded in full.)
Contact Information

Name

Phone

Email Address

Payment Information (for the $500 refundable deposit and project fees - see terms and conditions overleaf)

Credit Card #

CVV2

Expiry Month

Expiry Year

Name on Card

Billing Address

I agree to the Terms and Conditions.

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