Members Application Form
Application for Membership 2008
Update Existing Membership Details
Name
Address
Home Tel
Work Tel
Mobile Tel
Email
Date of Birth
Club
Membership Category
Athlete
Coach
Associate
Athletes: Please give details
Distance
Time
Date
Venue
800m
1500m
3000m
5000m
Your Coache's Name & Telephone Number
Coaches: Please give details
Qualifications
Awarding Body
No Years Coaching
Associates: Please Give Details
Athlete
Parent
Teacher
Other
This form will be emailed to the administrator of the Irish Milers Club Website, for your application to be processed you must also send the joining fee via post to:
IMC Registrar:Des Lynch, Apt 16 ballimtyre Grove, Ballintyre, Ballinteer, Dublin 16
The joining fee for 2008 is €20 or £15 sterling
