Inter-Country Adoption Association (Ireland)

 

 

INTER-COUNTRY ADOPTION ASSOCIATION (IRELAND)

MEMBERSHIP FORM

PLEASE FILLOUT IN BLOCK CAPITALS

CONTACT DETAILS

SURNAME

 

NAME(S)

Reason for joining:

What do you hope to gain from becoming a member?

 

 

 

 

 

 

 

 

 

 

 

 

  

E-MAIL ADDRESS

 

 

 

If you are already receiving updates via e mail please tick this box

 

Please tick to confirm you agree with the Policy on Ethical Adoption and the Data Protection Policy of ICAA

Pending, will be available on the new web page due shortly 

 

 

 

MEMBERSHIP FEE €20 PER APPLICANT/COUPLE

 

Please make cheques payable to : Inter Country Adoption Association

If posting the address is Colette L’Hostis, Ti Breizh, Bridgetown, Castlemartyr, Co Cork.