Membership Application

Applying for membership (for Payment Methods, see below)

by post to: Membership Secretary CorkDFAS, Lake View, 10 Holly Road, Rostellan, Midleton, Co Cork

by personal application at a lecture

by e-mail (for address, see Menu, Contact Us)

by electronic submission of the form below

 

Membership Application Form


Name: *
E-mail: *
Contact phone numbers *
Postal address
Subscription type (see below) *
Payment method (see below) *
How did you find out about CorkDFAS? *

* denotes required field


Type the characters you see here before submitting this form:

 

Please be reassured that all information supplied is held in confidence; it will not be shared with any third party without your express permission.

Please state your subscription type

standard subscription per member €80
concession † subscription €75

Autumn subscription €40
concession † subscription €35

Spring subscription €50
concession † subscription €45

† senior citizens, unwaged, members living at the same address

 

Payment Methods

You may pay your annual subscription using one of the following methods:

by cheque made out to CorkDFAS (for address, see Menu, Contact Us)

by cash or cheque handed to a Committee member and/or at a lecture (see Menu, The Committee; Menu, The Lectures)

by bank transfer to CorkDFAS (bank details available to applicants on request)

by Standing Order (please request form)