NOTE: This is a Double-Hammer Computer Services DEMO site, and is no longer active!
Please view with that in mind... information, forms and links may no longer be valid.
Copyrights may continue to be held by the original owners of the site.
Previously Registered Client Service Request and Log-In Form
Please fill in the following information when logging in...
Username and
Password
(What we previously assigned you when you registered with us)
Fields marked * * are REQUIRED information.
Username:
* *
Password:
* *
E-Mail Address:
* *
Payment Information:
* * (Required Information)
Card Type:
Card Number:
Expiration Date:
Name on Card:
Select the Counselor Type you are interested in...
Then the Type of Service...
(Your Credit Card will be charged based on what you select below)
Desired Appt. Date:
* *
First Choice Time:
* *
(Little Rock, AR Time)
Second Choice Time:
* *
(Little Rock, AR Time)
THANK YOU... for making an appointment with Counselors Link!
We will E-mail you back shortly with your Confirmation Number for this Transaction.
Our E-mail will also Confirm your Appointment Date and Time.
If you are requesting our "Need Help NOW" Personal Chat Service, our E-mail
will also give you "when and where" instructions for the chat.
Please review your information listed above for accuracy, then click "Submit" to send
this form to us.
NOTE: This is a Double-Hammer Computer Services DEMO site, and is no longer active!
Please view with that in mind... information, forms and links may no longer be valid.
Copyrights may continue to be held by the original owners of the site.
