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GALWAY BRANCH INDIVIDUAL MEMBERSHIP APPLICATION FORM Type of Membership: (please tick) New Member Renewal I wish to apply for membership of the BSTAI GALWAY Branch for the period 2013/2014 and I enclose Membership Fee of €20. Signed: NAME (Block Capitals) Mr./Mrs./Ms./Dr. CONTACT DETAILS HOME SCHOOL Address: Address: Mobile: School Phone: Home Phone: School Fax: Personal e-mail: School e-mail: Send correspondence to: (please tick) Home address School address Personal e- mail School e-mail BUSINESS SUBJECTS TAUGHT (please tick) JUNIOR CERTIFICATE LEAVING CERTIFICATE Branches: CARLOW ▪ CORK ▪ DONEGAL ▪ DUBLIN ▪ GALWAY ▪ GOREY ▪ KERRY ▪ KILDARE ▪ LIMERICK ▪ MAYO ▪ MIDLANDS ▪ NORTH EAST ▪ NORTH MAYO ▪ SLIGO ▪ SOUTH EAST ▪ SOUTH MIDLANDS ▪ THURLES

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Page 1: Membership application-form-2013 2014 galway1

GALWAY BRANCH

INDIVIDUAL MEMBERSHIP APPLICATION FORM

Type of Membership: (please tick) New Member Renewal

I wish to apply for membership of the BSTAI GALWAY Branch for the period 2013/2014 and I enclose Membership Fee of €20.

Signed:

NAME (Block Capitals) Mr./Mrs./Ms./Dr.

CONTACT DETAILS

HOME SCHOOLAddress: Address:

Mobile: School Phone:

Home Phone: School Fax:

Personal e-mail: School e-mail:

Send correspondence to: (please tick)Home address School address Personal e-mail School e-mail

BUSINESS SUBJECTS TAUGHT (please tick)

JUNIOR CERTIFICATE LEAVING CERTIFICATEBusiness Studies Business

AccountingEconomics

SUGGESTIONS FOR MEETINGS (TOPICS, SPEAKERS, VENUES ETC.)

Please return completed application forms to:

Branches: CARLOW ▪ CORK ▪ DONEGAL ▪ DUBLIN ▪ GALWAY ▪ GOREY ▪ KERRY ▪ KILDARE ▪ LIMERICK ▪ MAYO ▪ MIDLANDS ▪ NORTH EAST ▪

NORTH MAYO ▪ SLIGO ▪ SOUTH EAST ▪ SOUTH MIDLANDS ▪ THURLES

Page 2: Membership application-form-2013 2014 galway1

Aoife Fannin – Dominican College, Taylor’s Hill, Galway

GALWAY BRANCH

SCHOOL MEMBERSHIP APPLICATION FORMI wish to apply for membership of the BSTAI GALWAY Branch on behalf of the teachers listed below for the period 2013/2014 and I enclose Membership Fee of €20 per teacher.

Total amount enclosed: €

SCHOOL NAME: Date:

CONTACT DETAILS SUBJECTS TAUGHT (please tick)Teacher 1

Business StudiesBusinessAccountingEconomics

Personal e-mail

School e-mail

Teacher 2Business StudiesBusinessAccountingEconomics

Personal e-mail

School e-mail

Teacher 3Business StudiesBusinessAccountingEconomics

Personal e-mail

School e-mail

Teacher 4Business StudiesBusinessAccountingEconomics

Personal e-mail

School e-mail

Teacher 5Business StudiesBusinessAccountingEconomics

Personal e-mail

School e-mail

Please return completed application forms to:Aoife Fannin – Dominican College, Taylor’s Hill, Galway

Branches: CARLOW ▪ CORK ▪ DONEGAL ▪ DUBLIN ▪ GALWAY ▪ GOREY ▪ KERRY ▪ KILDARE ▪ LIMERICK ▪ MAYO ▪ MIDLANDS ▪ NORTH EAST ▪

NORTH MAYO ▪ SLIGO ▪ SOUTH EAST ▪ SOUTH MIDLANDS ▪ THURLES


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