Please fill out this form, then make sure to schedule your consultation here:

• This intake form is FREE of charge and for information purposes.

• By filling out this form, you agree to abide by the set rules as described in Terms & Conditions, including but not limited to those listed in Terms & Conditions.

• By clicking Submit, you verify that you understand that all fees and memberships are non-refundable. And you agree not to do a chargeback or and ask for a refund from your credit card company. Please understand how tedious this process is and how much time it requires: consultation, interviewing you and your potential matches, screening, meetings, getting to know you and your desires not to mention time involved in putting together each profile. We take matchmaking and coaching very seriously, as well as every individual's desires and needs. 

Julia Bendis is waiting to talk to you!