Renewal Application for Partner Membership

Organisation*(Required)

Business Type*(Required)

‘Does your organisation have an IAA (CAR) licence?(Required)

Yes

*If your organisation has an IAA (CAR) license you do not qualify to apply as an Affiliate Partner and must apply for full membership

Address*(Required)

Street Address Address Line 2 Town / City County Eircode / Post code Country

Telephone(Required)

Email to give to ITAA members*(Required)

Website(Required)

Main Contact

Name*(Required)

Job Title*(Required)

Direct Line

Direct Email

Accounts Contact Details

Name

Phone

Other Contact Details

Name

Phone

Communications

Other personnel in your organisation who you wish to receive ITAA communications:

Name

Phone

Name

Phone

Name

Phone

The information marked with an * will be loaded on to the Members Area of the ITAA website and included in a database that will be shared with Members of the ITAA and ITAA Affiliate Partners.

The individual email addresses which have been provided in this form are provided in the context of the individual’s commercial or official capacity and will be used by us for legitimate marketing purposes, where we believe our services will be of interest to you. You can ask us not to use your personal data for marketing purposes. You can do this by checking certain boxes on the forms we use to collect personal data and on any marketing emails we send to you. You can also ask us at any time by contacting us.

The Fee to renew is €550 plus VAT as applicable for the year from 01Jan – 31Dec 2023

A Business shall not be eligible to be an Affiliate of the ITAA if the business qualifies for full ITAA Membership, unless otherwise approved by the Board of Directors of the ITAA

The CEO and Board of Directors reserve the right to refuse or cancel Affiliate partnership at their discretion.

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