New Member Sign Up Form
Please complete the form below to enable us to complete your membership. It should take you two to three minutes to complete.
Name
*
First Name
Last Name
Email
*
example@example.com
Business name
*
Description of Business
*
Address
*
Street Address
Address Line 2
City
County
Eircode
Contact number
*
Industry Sector
*
Please Select
Not for Profit
Private
Public
Business Category
*
Please Select
Accounting
Art
Banking
Building Services/Construction
Business Services
Charity/Not for Profit
Education
Entertainment
Financial Services
Government/State Agency
Graphic Design
Health and Beauty
Health and Wellness
Hospitality
HR/Recruitment
IT and Technology
Legal
Marketing/PR
Other
Pharmaceutical
Photography
Press/Media
Professional coaching and training
Professional Services
Property
Publishing
Sales & Retail
Travel & Tourism
Select from the list
Business Sector
*
Please Select
Business owner
Director
Employee
Large > 250 employees
Medium < 250 employees
Micro < 10 employees
Self employed
Senior Manager
Small < 50 employees
Select from the list
LinkedIn Account
Facebook Account
Twitter Account
Website Address
GDPR consent
Note: consent is required to submit this information. Selecting 'No' disables the submit button so it cannot be submitted.
I give my consent for use of this personal information by Network Ireland Waterford for their website, social media and any other material as needed for the promotion of the organisation, Network Ireland at national level and/or for any of their events. I know can rescind this at any time by giving notice to waterford@networkireland.ie.
*
Yes
No
Submit
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