Membership : Join Us : AONTAS : The Irish National Adult Learning Organisation

Thursday, 29 July, 2010

AONTAS Membership Application Form

Please be as detailed as possible so as to ensure that you obtain maximum benefit from your AONTAS membership.
Fields marked with an asterix (*) must be completed.

Contact Details Name of Organisation (if applicable)
* Name
Job Title / Role
* Address
* Telephone No.
Mobile No.
Fax No.
Email Address
Website

Would you like your website to be included as a link on our site ?

Yes No

Would you like to include a link on your website to 'www.aontas.com' ?

Yes No

Please specify the contact details of the person who is to receive membership communications if different from above

Name
Phone
Email Address

* Membership Category

A. Organisational members

Small organisations (income €0 - €80,000) - €30 fee Medium organisations (income €80,000 - €250,000) - €100 fee Larger organisations (income €250,000 +) - €200 fee

B. Associate members

Individual associate member - €100 fee Organisational associate member - €100 fee

C. Individual members

Regular fee - €30 fee Reduced fee (Unwaged) - €2 fee