IHAI Membership Form

IHAI Membership form

Name:
Address:


Country:
Email:
Telephone:
	(Include international access code if outside the Republic of Ireland)

Particular Interests (if any):
Heritage enterprise:
Recording/Surveying:
Archive/Database:
Education/Training:
Preservation/Display:
(monuments or artefacts)
Publicity/Publications:
Sitewatch:
(alterations and threats to sites in your area)

Practical Skills:
(please specify)

Other:

Annual Membership Rates	Please enter the relevant amount in the box(es) below

Individual		€20/Stg£18
Student/OAP		€10/Stg£9
Heritage Centre		€50/Stg£45
Corporate		€100/Stg£90
Donation (Optional)
TOTAL

	Please print out this application form and send with the appropriate membership fee to:

	Dr Ron Cox IHAI Museum Building Trinity College Dublin 2

	Cheques in Euro should only be drawn on Republic of Ireland accounts, made payable to IHAI Ltd., and crossed. Bank drafts in Euro are also acceptable. For Sterling cheques, please add 5% to cover clearance charges. To pay by Bank Standing Order (Euro only) please select Standing Order Form