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Individual Membership Form

INOU Membership Form Name *
Address *
Phone Number *
E-mail Address Please note your details will not be used for any other purpose

Are you currently in receipt of Jobseekers Allowance Jobseekers Benefit

If no - please tick the appropriate box:

Are you currently On a Community Employment (CE) - Jobs Initiative (JI) or Community Services Programme Unemployed but not in receipt of a Social Welfare Payment Other

If Other please state
I would like to be included on the INOU's mailing list to receive news and information and updates from the INOU in the future

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Copyright © 2013 Irish National Organisation of the Unemployed
Company Name: Irish National Organisation of the Unemployed • Reg Office: Araby House, 8 North Richmond Street, Dublin 1
Company Reg No: 192768 • Email: info@inou.ie • Tel: +353 1 8560088 • Fax: +353 1 8560090 • Web: www.inou.ie

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