OHNAI

Surname:

FirstName

MaidenName

Place of work:

Work Address

Job Title

Nursing Qualifications

RGNOHNANPOccupational health student

COLLEGE:

Have you ever been a member of the OHNAI

YESNO

On occasions we are contacted by OHNAI members requesting contact details of all members for research studies, please indicate your preference below;

I agree to the OHNAI providing my email address to other OHNAI members for OHN based research studiesI do not agree to the OHNAI providing my email address to other OHNAI members for OHN based research studies

SUBSCRIPTION: Annual subscription for membership is €40:00. The membership year runs from November to November, If your membership is not paid by March 1st of the membership year your name will be removed from our mailing list. (You will be notified prior to this action )
(PLEASE NOTE MEMBERSHIP IS FREE FOR ONE YEAR FOR ALL NEW MEMBERS)

PAYMENT can be made as follows;
1. Bank Transfer to the following account: Occupational Health Nurses Association: Account No 46900-181. Sort code: 93-25-23: IBAN no: 1E 46 AIBK 93252346 9001 81 (BIC: AIBIE2D) Branch: Main St, Malahide.
2.Standing order, please contact your bank and request a standing order form to complete transaction: Please note you must fill in your name in the receiver reference section so that the organisation knows who has paid and a receipt will be then issued in due course.
3. By cheque payable to OHNAI and posted to OHNAI,PO Box 5616, Dublin 8

Please indicate your preferred method of payment:

1. Bank transfer2.standing order3.By cheque

MEMBERS: PLEASE BE AWARE THAT THE OHNAI IS CORDINATED BY THE COMMITTEE ON A VOLUNTARY BASIS AND AS SUCH WE APPRECIATE YOUR PATIENCE IN ALLOWING A REASONABLE PERIOD OF TIME FOR YOUR RECEIPT FOR MEMBERSHIP BEING ISSUED, THANK YOU IN ADVANCE

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