Consulting Session - Online Request Form

Your consulting session includes:

  • A confidential telephone session with Bill. (In-person meetings may be arranged in the St. Louis metro area.)
  • My direct, practical and honest feedback and advice.
  • A summary email on request.

Your first 30 minute session is FREE.
After the first session, your investment is $150/hour.

Begin the process now by requesting a session. Complete the form below. 

After you submit it, I'll be in contact to schedule our session. 

Consulting Session Form - Please fill in all fields
First Name
Last Name
Street Address
City or Town
State or Province
Country
Zip/Postal Code
Telephone Number
Email Address
Web site URL
Name of Company
Title
Industry/what we do
Annual Revenue:
Revenues are: Growing   Stagnant   Going Down     
Number of Employees:
Entity type: S-Corp.   C-Corp.   LLC   Sole Proprietorship  
Partnership   Other/Don't Know
I first heard about you from:
I am the decision-maker in my company and have the power to change the way the business operates. Yes No
My choice of payment is:
You may use my success story to inspire others after I have achieved the success I was looking for. Yes No
My first choice for a session is:
My second choice for a session is:
I want to meet:
The results I want from our work together are:
Here's what else I want you to know about me and/or my company:
Here is the specific issue I want to discuss during our session: