CYM Membership Form
Full Name *
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Email *
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Address *
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Select your nearest branch *
Phone Number *
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Emergency Contact Info *
Please enter name and phone number
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Age *
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Occupation *
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Studies *
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Why do you want to join the CYM? *
Your answer
Are you a member of the Communist Party of Ireland *
Are you a member of a Trade Union, Solidarity Organisation or Society? *
What skills or talents would you bring to the organisation? *
Your answer
Date of Birth *
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By checking this box, you agree that you may be contacted by a CYM member in order to process your application. The information you supply may also be used in the administration of your membership. *
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