IWCD Membership Inquiry Form
Email address *
First name *
Your answer
Last name *
Your answer
Address *
Your answer
City *
Your answer
Postal code *
Your answer
Main phone *
Your answer
Date of arrival in Ireland (Month/Year) *
Your answer
What is the purpose of your move to Ireland?
Your answer
How long do you plan to stay in Ireland?
Your answer
Birthday month *
Your answer
Nationality 1 *
Your answer
Nationality 2
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Nationality 3
Your answer
Have you belonged to an IWC? *
Your answer
How did you hear about our Club? Please provide the name of the Club Member who introduced you (if applicable). *
Your answer
Please share your reasons for wanting to join the IWCD. *
Your answer
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