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Register for membership with theinstituteofwellbeing.com to use some of our great services including Maximised training and Counselling. If you are an IOW member, you could also be eligible for additional services such as e-learning and online counselling. Please complete the fields below to continue.

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Membership Application

Please complete this online payment form and follow all the instructions

About You:

*Title (eg. Mr/Mrs):
*Gender: Male Female
*Status:
Single Married Divorced
Other
*First Name:
*Last Name:
*Date of birth:
Job Title:
*Address:
*Post Code:
*Ethnicity:
*Home Phone:
*Home Email:
Mobile:

About Your Organisation:

Name of organisation:
Address:
Work Phone No: Extension: Fax:
Work Email:

General Information:

Area of Operation:
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How did you hear about us?
Internet Word of mouth Newspaper / Magazine Other

Payment Options:

Cheque enclosed (payable to **IOW) Call 0700 22 22 700
*Amount in £:

By Electronic Transfer

SWIFT CHAPS BACS
NONE
Bank Name: Barclays Bank PLC
Bank Address: 43 High Street, Sutton, Surrey SM1 1DR
Account Name: The Institute of Wellbeing Limited
Account Number: 10759252
Sort Code: 20-84-17
   
NB:
1. Use SWIFT for non-sterling funds transfers.
2. Use CHAPS for same day sterling transfers.
3. Use BACS for standard sterling transfers.

Please Allow 4 working days

By Credit Card

*Name on Card:
*Card Type: We accept: Visa Mastercard Eurocard Delta Maestro
*Credit/Debit Card No: Security code:
*Valid Number: (month/year)   *Expiry: (month/year)   *Issue Number:
/ /  
To protect our customers, (IOW)- **The Institute of Wellbeing participates in the Verified by Visa and MasterCard SecureCode™ programs. If your credit card is eligible for or enrolled in one of these programs, you may see a screen from your credit card's bank, prompting you to provide your password or enroll in the Verified by Visa and MasterCard SecureCode program.
 
*Billing Address: (if different from above) *Post Code: (If different from above)
*Date:


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