Full Name*

Email*

Phone*

Preferred Time Slot*

Preferred Date (as selected on calendar)*

Services*
Let's Talk Session - IndividualLet's Talk Session - CoupleLet's Talk Session - Family

Privacy Preference*
Prefer On-Camera SessionPrefer Telephonic Session

Preferred Language*
EnglishHindiBengali

Meetup Notification Preference*
Want Events NotificationsDon't Want Events Notifications

Group Membership Preference*
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Service Fee: INR 450 (Fixed - For Indian Citizens)

Solve: (12+48+15) - 25 =?

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