document.write('

James Braid Society Membership Application

Please fill out the fields below.

Your name *

Email Address *

Phone number

Details of your hypnotherapy training, past or current *

Checkboxes * By ticking this box you confirm you have read and accepted the James Braid Society’s privacy policy and consent to the society storing the information you provide

If you are interested in presenting a talk to the society plase indicate here *

'); document.write('

Email Forms by Bravenet | Report Abuse (spam, phishing, etc)

');document.write('');