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Online Class Registration


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Personal Information  
First Name:*
Last Name:*
Street Address 1:*
Street Address 2:
City:*
State / Province:*
  (Choose Not Applicable if outside the U.S. such as the U.K or Australia)
Zip / Postal Code:*
Country:*
Telephone Number:*
Birth Date:*
Member Account Information
Once you have registered for your class, you will need a user name and password to access the members' area. If you have already registered with Valley Anger management, login to your account using Members Login.
Email Address:*
Password:*
Confirm Password:*
Reason for Registering*  
Product Selection *  
8-hour ONLINE Anger Management (HOURS OR WEEKS) Price $65
10-hour ONLINE Stress Management Course Price $99
26-hour ONLINE Anger Management Course Price $159
12-hour ONLINE Anger Management(12 hours or 12 weeks) Price $95
Phone anger management and stress counseling two 30 min $90
Proof of Enrollment Only Price $20
 
Need Different Hours of Class
Add Hours of Class: ($10 each hour)
 
Offer Code: (If you have one)
 
By registering for this program, you are agreeing to accept all terms of use for www.valleyangermanagement.net clearly stated on the website
 

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