Proposal of Candidate for Membership
Name:
Address:
phone:
e-mail:
fax:
Full Member (€40.00)
Associate Member* (€30.00)
Please tick.
For full membership, please list titles of published books, plays staged or broadcast, scripts, contributions to periodicals and other relevant details.
Associate membership is open to all who have an interest in writing but have not yet been fully published, those attending creative writing classes and members of writing groups etc
Please complete and return to
Éilis Ní Dhuibhne,
6 Seafield,
Shankill,
Co Dublin
(with payment to Irish PEN).