If you wish us to send you a Pro-Forma invoice, against which you may raise payment, please fill in the form below with details as required.

If you wish to pay by cheque  please print a copy of this application form and mail it to:

IaAM , 14 Hopefield Ave, Belfast, BT15 5AP

   Membership Application Form: 

*Indicates required fields
First Name*	Last Name*
Street
Town	Company
Post Code
E-mail Address*
Phone Number (INCLUDE AREA CODE)
Status:  Introductory Evening   “Anger Essentials” – 1 Day Workshop   “Temper Your Anger 1” – Intensive residential  weekend   “Temper Your Anger 2” – 8 week course (usually evenings)   “Temper Your Anger 3” – 2 day programme.   “Staying Cool Under Fire” – Managing Hostile Behaviour - 2 Day course
Cancellation Policy: IaAm does not provide refunds. However, you can reschedule to attend a future programme within six months of your original booking. Alternatively, you may send someone else in your place as long a telephonic or emailed notification is given.
Method of Payment	--- Payment --- Cheque Direct Debit
Enquiry*
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