MSOI Application Form

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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 Ireland
6 Margaret Street
NEWRY
County Down
BT34 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