The Association of Irish Stage Technicians - Membership Application Form
Forename:
Surname:
E-Mail Address 1:
E-Mail Address 2:
Home Phone Number:
Mobile Phone Number:
Work Phone Number:
Home Address
Address 1:
Address 2:
Town:
County:
Postcode:
Job Title:
Main Job Are You...
Full Time
Select Option
Part Time
Fixed Term Contract
Freelance
Casual
Main Job Are you self employed?
Select Option
Yes
No
Secondary Job Are You...
Full Time
Select Option
Part Time
Fixed Term Contract
Freelance
Casual
Secondary Job Are you self employed?
Select Option
Yes
No
Name and Address of Employer
Name:
Address 1:
Address 2:
Town:
County:
Postcode:
Today's Date:
Finally, please give details of what you would like to see the AIST doing for you...
It is our intention to have a list of our current membership on our website. This will list no contact details and will only list your name Ò your job title Ò and where you work. Please check this box if you do NOT wish to be listed on the site.