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Contact Us
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Online Registration
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Application form
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*
" indicates required fields
Full Name
*
First Name
Last Name
Email Address
*
Phone Number
*
Please tick which applies to you
*
New Member
Renew you membership
Membership Type
*
Practitioners - Years 1 & 2 (Free of Charge)
Practitioners - Years 3, 4 & 5 (€75.00)
Practitioners - Years 5+ | Judicial | Academic | Associate Members (€150.00)
Quantity
*
Total
Solicitor’s Firm (if applicable)
Address Line 1
*
Address Line 2
*
City
*
County
*
Carlow
Cavan
Clare
Cork
Donegal
Dublin
Dublin County
Galway
Kerry
Kildare
Kilkenny
Laois
Leitrim
Limerick
Longford
Louth
Mayo
Meath
Monaghan
Offaly
Roscommon
Sligo
Tipperary
Waterford
Westmeath
Wexford
Wicklow
DX
*
Profession
*
Barrister
Solicitor
Other
Qualifications
*
Year of Qualification
*
1951
1952
1953
1954
1955
1956
1957
1958
1959
1960
1961
1962
1963
1964
1965
1966
1967
1968
1969
1970
1971
1972
1973
1974
1975
1976
1977
1978
1979
1980
1981
1982
1983
1984
1985
1986
1987
1988
1989
1990
1991
1992
1993
1994
1995
1996
1997
1998
1999
2000
2001
2002
2003
2004
2005
2006
2007
2008
2009
2010
2011
2012
2013
2014
2015
2016
2017
2018
2019
2020
2021
2022
Are you an Accredited Mediator
Yes, I am an Accredited Mediator
No, I am not an Accredited Mediator
Circuit (You can select multiple Circuits by ticking more than one box)
*
Cork
Dublin
Eastern
Midlands
Northern
South Eastern
South Western
Western
Total
Credit Card
*
Card Details
Cardholder Name
Card Holder Address - Optional (for business card holder only)
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