Tom the Banker Financial Coaching Enrollment After completing this enrollment form, you will be taken to a page where you can select a time for our first 60-minute coaching session. Please enable JavaScript in your browser to complete this form.Name *FirstLastEmail *What Would You Like to Talk About *Budgeting / Money ManagementCredit CardsDebt Payoff PlanningMortgages & Home EquitySaving / InvestingMoney Education / Young AdultRetirement PlanningOther Financial Related TopicsSelect all that applyDo you have any specific questions you would like me to focus on in preparation for our first session?What Best Defines Your Working Situation *I am an employee in a traditional, full-time role.I am a business owner.I have various sources of income, but it doesn't equate to a full-time employment income.I have various sources of income, but it exceeds a full-time employment income.I am unemployed or underemployed.Household Situation *Married, no children at home.Married, with children at home.Not Married, no children at home.Not Married, with children at home.If you are single, engaged, divorced, legally separated, or widowed, please select one of the "Not Married" options.How Many 60-minute Coaching Sessions Would You Like to Have *1 Coaching Session - $ 197.003 Coaching Sessions ($100 Discount) - $ 491.006 Coaching Sessions ($200 Discount) - $ 982.009 Coaching Sessions ($300 Discount) - $ 1,473.0012 Coaching Sessions ($400 Discount) - $ 1,964.00For every 3 coaching sessions purchased, we provide a $100.00 discount. This is already calculated in the figures above. Each individually purchased session is $197.00. Total$ 0.00Payment Information *Submit