SIPTU - Praxis MEMBERSHIP APPLICATION

Tell us about yourself
Step 1 / 4

First Name

Last Name

House number

Street name

Address line 2

Address line 3

City

County

Eircode / Postal Code

Country of residence

Phone

Date of Birth

Gender

Nationality

Tell us about your work Step 2 / 4

In your capacity as a professional artist, what best describes your working status?

Do you work in your artistic practice full-time or part-time?

Where is your main place of work?

Membership Payment: Step 3 / 4

Preferred payment method

Confirm Details: Step 4 / 4

Full Name:
Address:
Email Address:
Phone Number:
Gender:
Date of Birth:
Nationality:
Employer:
Full / Part Time Employment:
Main place of work:
Preferred payment method:
Bank Account Holder Name:
Bank Account Holder Address:
IBAN - International Bank account number:

Please note that SIPTU may not be able to advise or represent you on issues that existed prior to your membership application.

By submitting this SIPTU membership form you agree to abide by the union’s rule book