couple intensive application  

We are excited you have decided to join Melissa in a 3 - day Couple Intensive. Please fill out the form below to apply. Once this is received Melissa will reply with a further questionaires that will take up to an hour to complete. Questionaire costs will be $50 which is non-refundable. An invoice will be sent to you for payment and your questionaire will be sent out immediately once we receive payment. Once your questionaires are completed and reviewed and you are accepted to do a Couple Intensive with Melissa an invoice with full payment terms and conditions will be sent to you. Melissa will make further contact once questionaire results has been personally reviewed by her. Total costs of 3 day full program is $4450 per couple in my Penrith rooms or Haberfield rooms during the week and $4950 on weekends/holidays. Please read Terms & Conditions fully before submitting form below.    


Names *

Address for Penrith Rooms:

Suite 11, 20 - 24 Castlereagh Street,

Penrith, NSW, 2750.

Phone: (02) 4733 4094

Mobile: 0413 806 880