Please complete all sections of this form and enclose TWO PASSPORT SIZED PHOTOGRAPHS of each adult.
Fields "Address 1", "Address 2", "Address 3" signify home address.
Please tick : Single: Family Couple
Full Name : _________________ Full Name : _________________
Address 1 : _________________ Address 1 : _________________
Address 2 : _________________ Address 2 : _________________
Address 3 : _________________ Address 3 : _________________
Phone : ______ _____________ Phone : ______ _____________
Gender : M/F DOB __/__/_____ Gender : M/F DOB __/__/_____
Correspondance Address (if different): ______________________________
________________________________ e-mail(if any): ___________________
Family members under 18 to be covered by membership :
Names : |_________| |_________| |_________| |_________| |_________|
D(S).O.B.: |_________| |_________| |_________| |_________| |_________|
How did you hear about the INA? _____________________________________
_____________________________________________________________________
I / We agree to be bound by the rules of the INA and enclose cheque/ postal order for €55.00 / €40.00 (if over 65 years) as appropriate along with two passport sized photographs of each adult.
Would you like your name(s)to be forwarded to the local INA representative in your area?: YES/NO
SIGNATURE 1:________________SIGNATURE 2:_______________Date :________
NATURISM (Nudism) is a way of life in harmony with nature characterised by the practice of communal nudity, with the intention of encouraging self respect, respect for the others and for the environment.
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Fee: €55 paid ___ €40 paid ___ (over 65) INF cards issued___ Memb No:I____