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*

First

Last

Email*

Mobile Phone*

or Home Phone if any*

Postal Address

Street Address Street Address Line 2 City or County Eircode

Subscription type (see below)*

Payment method (see below)*

How did you find out about CorkDFAS?

* denotes required field

IMPORTANT do the sum below BEFORE clicking on Submit

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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, student €25

Autumn subscription €40
concession † subscription €35, student €12

Spring subscription €50
concession † subscription €45, student €15

† 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)