Inclusion Ireland Logo logo
Home
About
access for all
Membership
News
Events
Projects
Publications
Topics
Links
Search
Contact Us
About Us Become a Member Looking for Info
     
  Membership: Individual Application Form  
 

Please fill in the form below, or you can download it here and print it and post it back to us: Inclusion Ireland, Unit C2, The Steelworks, Foley St, Dublin 1.

Name:
Address:
Telephone:
Mobile:
Email(Username):
Password:
Note: Please choose a password so you can log into member only areas of the site and renew your membership online in the future.
 
My interest in intellectual disability is as a (please tick):

Person with an intellectual disability

Parent of a person with an intellectual disability
Relative of a person with an intellectual disability
Professional (please specify)
Member of local association
(please specify)
 

Issues of particular interest to you (please tick):

Early Intervention
Education
Respite
Waiting Lists
Staffing Issues
Benefits & Allowances
Rare Syndromes
Challenging Behaviour
Legal Issues
Research
Other
   
How did you hear about Inclusion Ireland?
 

Please note once your application has been approved the annual fee of €40 will be due.

   
 

 

 
Inclusion Ireland, Unit C2, The Steelworks, Foley Street, Dublin 1, Ireland. Tel: 01 8559891 Fax: 01 8559904 Email: info@inclusionireland.ie