it@cork

If you would like to register an account for your organisation, please use the form on this page.

Membership subscriptions will run until Jan 2011

Students, please use the student sign-up form.

Register Your Company/Organisation with it@cork
Company Name:*
Company Phone:*
Company Fax:
Company Email:
Company website:
Company address:
Choose Membership Type:*
Type:*	Individual Membership - €181.5 per annum1 - 6 Employees + 21% VAT - €181.5 per annum7 - 20 Employees + 21% VAT - €363.0 per annum20 + Employees + 21% VAT - €605.0 per annum Note: You will only have to pay for the remaining quarters of the year.
Payment:	Paying from now up to January 2011 will cost €60.50.
Paying By:*	Credit Card Cheque/PO/Phone (we'll contact you)
Your Details
First Name:*
Last Name:*
Job Title:*
Email:*
Additional Contacts
The it@cork forums run numerous specialist events throughout the year, that maybe of interest to other contacts in our organisation.
IT Manager:*	Name Email address
Training/HR Contact:	Name Email address
Marketing Contact:	Name Email address
Choose Your Password
Password:*
Confirm:*
Refer A Friend (Optional)
If you have friends/colleagues/associates whom you think might be interested in joining it@cork, simply enter their details here and we will send them an invitation to join. If any of these referrals sign-up, you will be automatically entered into our monthly prize draw.
Refer a friend?
Referral 1    First Name:  Last Name:  Email: Referral 2    First Name:  Last Name:  Email: Optional Comment   I thought you might be interested in joining it@cork.