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Application formformembership There are two categories ofmembership of the IoD – Full and Associate. Both can avail of allmembership benefits and attend all IoD events.


FullMember:A personmust be a director of a corporation for a minimumof three years or a partner, senior executive or officer of an entity,with three years’ experience as amember of the body that is responsible for the strategic business direction of that entity. The companymust be solvent and in existence for at least three years and have aminimumannual turnover or budget of€300,000.


AssociateMember:A personmust be a director, partner, senior executive or officer of an entity or a sole trader for aminimumperiod of one year orwho reports to amember of the body that is responsi- ble for the strategic business direction of that entity and is interested in the promotion and advancement of good corporate governance.


Please indicate the category you are applying for: Full  Associate 


1. PERSONAL DETAILS OF THE APPLICANT (Please attach your business card if possible)


Name __________________________________________________ Job Title ________________________________________________ BusinessName____________________________________________ Business Address ________________________________________ ________________________________________________________


Business Phone __________________________________________ Number of years served as aDirector __________________________ _________________________________________________________ Job Title ________________________________________________


Fax ____________________________________________________ Email __________________________________________________ Mobile __________________________________________________ Qualifications______________________________________________ Home Address ____________________________________________ ________________________________________________________


Company Type (ie plc, Ltd) __________________________________ Company Sector __________________________________________


I hereby apply formembership of the Institute of Directors in Ireland and agree to be bound by its Memorandumand Articles of Association. I also confirmthat:


• I do not have any unspent criminal convictions (other than for traffic offences). • I have not been restricted from acting as a company director, under s150 of the Companies Act 1990, or disqualified from acting as a company director under s160 Companies Act 1990, as amended or equivalent legislation in other jurisdictions.


• I have read and understood the code of conduct expected as amember of the Institute of Directors in Ireland. The code can be viewed at www.iodireland.ie/about-iod or emailed to you on request.


2. COST OF IOD IRELAND MEMBERSHIP:  Registration fee (payable in the first year only) €200


Annual subscription €295 Total Cost ofNewMembership €495


3. PAYMENT DETAILS Payment is accepted by chequemade out to: The Institute ofDirectors in Ireland, or by credit/debit card (see below)


Cardholder’sName: ______________________________________ Amount:€______________ I ampaying by


Card no:     Expiry date:/


 Visa  MasterCard  Laser (We cannot accept American Express)


Signature: ____________________________________________________________ All information provided is treated with the strictest confidence. If you have any queries, please phone us on 01 4110010.


Please return your completed form by fax to 01 4110090 or post to: Institute of Directors in Ireland, Europa House, Harcourt Street, Dublin 2


www.iodireland.ie





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