Application Form
If you would prefer to pay your membership online, go to Join MSOI and follow the instructions. For all other forms of payment please complete the following form and contact the membership secretary by email.
Name _____________________________________________________________________
Title (Mr/Mrs/Ms or Rank) ____________________ (not required)
Email Address (Please print clearly) [For use to inform member of future meetings, fairs, lectures and tours and required for access to MSOI website.]
_________________________________________________________________________
Address [Used for posting, to members, the Journal of the Medal Society of Ireland]
____________________________________________________________
____________________________________________________________
____________________________________________________________
____________________________________________________________
SIGNATURE _______________________________ DATE ____________
CHEQUE / DRAFT FOR €_______/ £______/ $______ ENCLOSED
PLEASE CONTACT THE MEMBERSHIP SECRETARY TO RECEIVE FURTHER INFORMATION
Email:
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Post to:
Medal Society of Ireland6 Margaret StreetNEWRYCounty DownBT34 1DF U.K.
(NOTE : Within Ireland this is still a LOCAL postal rate)
WE WISH TO ASSURE YOU THAT YOUR INFORMATION IS SAFE AND WILL NOT BE SHARED WITH ANY THIRD PARTY
