Membership

Please show your support for Reform in whatever way you can through membership and donations.

Membership Enquiries

Please contact Robin Bury our Chairman, or Derek Simpson our Treasurer either via our contact page or through the mail at Blackrock, Tennalick, Coal Hill, Co. Longford if you have any further queries about becoming a member or making a donation.

Membership Applications

Annual membership is only €30.00. Students and Seniors €20 per annum.

Membership Application Form.

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* (required information)

First Name: *

Middle Name:

Last Name: *

E-mail Address *

E-mail Address *

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Title *

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I wish to apply for *

€30.00 Full Membership
€30.00 Associate Membership (outside RoI)
€20.00 Students/Seniors

How did you hear about Reform? *

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Method of Payment *

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PayPal Donations

We would also be grateful for even a small donation to help “Reform: Ireland for a New Generation”.

Other Methods of Payment or Donations

Please make cheques, postal orders and bank drafts payable to: The Reform Movement and forward with your application form to: Derek Simpson, Blackrock, Tennalick, Coal Hill, Co. Longford.

In the Republic of Ireland, you can transfer payment directly to our bank account at: Ulster Bank, 33 College Green, Dublin 2, account number: 0672 1062, sort code 98-50-10. Please forward your full name with your bank payment, and let us know the lodgement/transfer details. Your application form can be mailed to the address above or faxed to: +44 7092 309 865.

You can download this printer friendly application form for mailing or faxing your application.