College Counseling Enrollment

A family may register for the current school year by sending a refundable deposit of $500 payable to Marks Counseling Associates, LLC. To register, please email the following information to mhamilton@marksca.com. Once you have submitted the information, please mail your check to:

Marks Counseling Associates, LLC
4833 Rugby Avenue
Suite 301
Bethesda, MD 20814

* Name of Student
* Names of Parents
* Address
* Home Phone Number
* Parents' Office Phone Numbers
* Parents' Cell Phone Numbers
* Student E-mail Address
* Parents' E-mail Addresses
* Student's School
* Current Grade Level of Student
* School Year
* How you learned about Marks Counseling Associates, LLC
* The service for which you will be signing up
* Payment Method check/credit card

Credit Card Information
Visa/Mastercard
Name on Card
Account #
Expiration Date
Card Security Code
Amount

* Required