INA Membership Application Form
All the information that you give on this form is confidential and will not be shared with anyone else.  By giving us your e-mail address you are giving your consent to receive our monthly newsletter and other notifications. You can unsubscribe at any time.
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Your Name (First Name and Surname) *
If you are joining as a couple or a family please enter the name (first name and surname) of the second adult here. Otherwise leave this section blank.
Address Line 1 *
Address Line 2 *
Address Line 3 *
Address Line 4
Eircode or Postcode
Your membership card and welcome pack will be posted in a plain envelope. If you don't want these to be posted to your address please write NO POST below. If you chose this No Post option your membership card and welcome pack will be issued by email. All other membership information (monthly newsletter, membership notifications  etc) will be issued by email.
Your date of birth *
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DD
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If you are joining as a couple or a family please enter the date of birth of the second adult here. Otherwise leave this section blank.
MM
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DD
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YYYY
Please state your e-mail address. You can include more than 1 email address here. *
Your mobile phone number: (Your phone number will not be shared and will be used to contact you only in very limited circumstances e.g. to advise you of the last minute cancellation of an event where you have booked a place).
Names and dates of birth of family members under the age of 18 to be covered by membership
Were you previously a member of the Irish Naturist Association? *
How did you hear about the Irish Naturist Association? *
Why do you want to join the Irish Naturist Association?
What do you hope to get from becoming a member?
I confirm that I/we have paid the appropriate membership fee. *
Required
If you are availing of a special offer or discount please state the details here :
I acknowledge that my/our membership application will not be processed until I submit a head and shoulders photo (or mobile phone selfie) of each adult by email to info@irishnaturism.org. (Photos of family members under 18 are not required) *
Required
I/We agree to be bound by the rules of the Irish Naturist Association - please see the membership page of our website for further information. *
Required
Date *
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YYYY
For INA Office use:
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