Sponsorship / Reduced Professional Fee Application

Thank you for choosing Lois Hermann & Associates for your mind, body, and spiritual self-care. If you are experiencing financial hardship and would like to request assistance with payment for your sessions, we are graciously willing to consider your situation. We offer opportunities for special sponsorship discounts for our programs and payment plan options.

Secure your session with the down payment, then complete and submit this form. Check the items on this list to acknowledge your understanding of our reduced-rate professional services agreement. Pending availability, you may be placed on a waiting list for our sponsorship program. We will discuss payment options at your scheduled appointment time. 

We are grateful to be of service to those who are ready to do the work to embrace change. We hope to be able to assist you on your self-care wellness journey.

Many Blessings,
Lois Hermann & Team

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Please check the box to indicate you agree with the following if you are selected:*

I have read, understand, and agree to the provisions of this partial Sponsorship Agreement.