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Become a Member
        
(* required)
* Your Name:
* Your Email:
      
* Street:
* District:
* City:
      
* Date of Birth:
      
* Telephone:
* Fax:
Address:
      
      
Categories of Membership:
A. Full Membership (for qualified dental nurses) €40
Copy of Certificate required
B. Associate Membership
(for trainee) €40
B. Student Membership €35
      
Best description of my place of work    
      
      
Payment method:
Visa (If paying by visa, please complete and submit this form and then complete your transaction by clicking the Paypal link below)
Cheque / Postal order / Money order:
Please forward to:
Membership Secretary, 7 Drinaghmore Avenue, Carrickmines, Dublin 18
      
      
      
Your Comments:
      
(Please note:) Click the 'Submit Form' only once, it will take a few seconds to process
      
 
        
Please remember to complete the application form otherwise your request can not be processed. Please also let us know if you have recently changed either your name or address and ensure that you advise us what it was previously. Thank you.
      
Pay by Paypal
      
Membership runs from January to December each year
        
        
        
        
        
Contact address: IDNA Secretary - 43 Northlands, Eastham Road, Bettystown, Co. Meath
        
Phone: 087 6767500        Email: info@idna-ireland.com        Powered by: go2web