Brothers on a Road Less Traveled

STEP ONE
ENTER INFO
STEP TWO
CONFIRMATION
STEP THREE
RECEIPT

“Journey Together” Coaching Group

By Brothers Road

Thank you for registering for our “Journey Together” coaching group, led by professional life coach Rich Wyler, founder of Brothers on a Road Less Traveled.

The minimum number of participants for each group is 5. The maximum is 10.

Payment is for 4, 8 or 12 consecutive sessions. There is no refund or credit for sessions you miss unless you tell us at the start of the payment period that you need to miss a certain week due to other commitments.

Please call or email us first to confirm that there is room in the group you want to join. 1-434-227-9346 or richwyler@brothersroad.org.

For One Month, 4 sessions

$75.00

For Two Months, 8 sessions

$140.00

For Three Months, 12 sessions

$195.00

Other amount

Which group do you want to join?

Mondays at 8 pm US Eastern Time / Tuesdays 12 pm Eastern Australia

Tuesdays at 2 pm US Eastern Time / 7:00 pm UK time / 8:00 pm Central Europe

Tuesdays at 8 pm US Eastern Time / Wednesdays 12 pm Eastern Australia

Your Information

For which month(s) are you paying?

First Name: *

Last Name: *

Billing Address: *

This is the address where your credit card statements are mailed.

Address 2:

City: *

State / Province: *

Zip Code: *

Country: *

Telephone: *

E-mail: *

A receipt will be e-mailed to this address.

Additional Information

What do you hope to get out of participating in the group?

How did you hear about the group?

Have you participated in the Journey Into Manhood experiential weekend, and if so, when and where?

Follow-up Information
and Instruction: *

May we email follow-up information and instructions to you at the email address above?

Other Contact:

If you answered No to above enter other contact instructions here.

Phone Number: *

May we call the phone number if necessary (we will always attempt to contact you by email first)?

Other Contact:

If you answered No to above enter other contact instructions here.

Comments or Questions:

Your Payment Information

Name on Card: *

Card Number: *

Security Code: *

Expiration Date: *