EOPD Ireland Membership Form for 2026

EOPD Ireland Membership Form for 2026

Together, our members help us build a stronger, more connected EOPD community. Your membership helps support the work we do throughout the year, from activities and events to advocacy, awareness, information and opportunities for people to connect with others who understand. You are now part of something bigger. We’re delighted to have you with us and look forward to having you involved in the EOPD Ireland community. Thank you for being a part of EOPD Ireland. Together, we can make a difference.
Membership Year
Membership type
Date on membership

DayMonthYear
2 digit day, 2 digit month, 4 digit yearDate
Full Name

First NameLast Name
First name (Only)
Primary Email Address
example@example.com
Secondary Email Address (Optional)
example@example.com
Primary Phone Number
Format: 000 0000000.
Secondary Phone Number (Optional)
Format: 000 0000000.
Postal Address

Street Address

Street Address Line 2
Town/CityCountyEircode
Membership Fee
Date of Birth

DayMonthYear
2 digit day, 2 digit month, 4 digit yearDate
Gender
Age Diagnosed
Year Diagnosed
Preferred Contact Method?

Other
Would you like to be updated on Research Opportunities?
Would you like access to the EOPD Closed Members Group?
Would you like to receive the EOPD Monthly E-newsletter?
If you have provided a secondary contact, would you like them to receive the EOPD monthly E-newsletter?
My Subscriptions
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EOPD Ireland Membership
Yearly Membership 2026

€25.00 for each year
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EOPD Ireland Membership Form for 2026

My Subscriptions