MEMBERSHIP APPLICATION / RENEWAL FORM




To TRANSACTIONAL ANALYSIS in IRELAND

c/o 8 Seskin View Avenue, Tallaght, Dublin 24, IRELAND

1998 MEMBERSHIP APPLICATION/RENEWAL FORM

I, the undersigned, wish to apply for membership of the group known as Transactional Analysis in Ireland.

COMMITMENTS - Please click those you are willing to observe.

 

1. Yes, I am in favour of promoting the study and application of the works of ERIC BERNE and his successors in accordance with the Constitution and Rules of TAI.

 

 

2. Yes, I agree to abide by this Constitution and Rules as democratically decided on by TAI.

 

 

3. I am willing to pay a self-assessed membership fee

(A suggested annual figure might be 10% of one week's take-home income. (though an individual might decide to pay more or less than this).

Persons with no income pay a nominal subscription (of approximately 50 pence/1 dollar) to legalise their membership.

 

 

NAME:

Street & Number:

City & Postcode:

COUNTRY:

FAX:

 

E-mail Address:

Choice of Payment

1. I will post a CHEQUE to:Financial Controller, TAI c/o 8 Seskin View Avenue, Tallaght, Dublin 24, IRELAND

2. I will send postage stamps as a small subscription (minimum value 50p or $1 cents)

3. I will pay by Credit-card

  1. VISA
  2. Mastercard
  3. Access
  4. Amex
  5. Other
Cardholder  

Number:      

Expiry Date:

WARNING NOTE regarding CREDIT CARD PAYMENTS:

This is not a secure site.

If you are happy with your details, click here

If you want to start again, click here to clear form

Write to Elizabeth Cleary

Drop Email


© Transactional Analysis in Ireland

Please feel free to copy and distribute our material for non-commercial purposes only.