you are not alone. We can help. you are not alone Join us ... if you ...

Join us ...
if you Care
Proof
The Carers Association
Membership Services
FREEPOST T52
Market Square
Tullamore
Co. Offaly
Proof
Over 160,000 people
in Ireland care for
somebody at home.
Together you perform
3.7 million hours of
work per week.
Our vision is to achieve
recognition, empowerment
and a better quality of life for
family Carers by advocating
for equality and social justice
and by providing nationwide
services and supports.
Proof
No Stamp
Required, but
using one will
save us money.
Your combined
contribution to our
social economy is
estimated at
€2.5 billion a year.
We can help.
Proof
you are not alone.

Thanks for deciding to become a member. We want your membership to mean a lot to you in the
years to come. Please tell us about yourself so that we can be of most value to you.
Mr / Mrs / Ms / Miss
N AM E
S U R N A M E
Proof
Proof
A D D R E S S
A D D R E S S
Home Telephone
Mobile
Email
Preferred means of contact
Records of your contact details are not shared with third parties.
■ POST ■ EMAIL (SAVES POSTAGE)
I am a (please indicate)
■ CARER ■ FORMER CARER ■ PROFESSIONAL ■ OTHER
Condition/illness of cared-for person:
Hours spent caring per weeK ■ 1-14 ■ 15-28 ■ 29-42 ■ 43-56 ■ 57-71 ■ 72+
Proof
Your Date of Birth Or Your Age Range if preferred ■ Under 25 ■ 26-35 ■ 36-45
■ 46-55 ■ 56-65 ■ 66-75 ■ 75+
What are you most interested in
How did you hear about us?
■ Services & Supports ■ Training
■ Carers Resource Centre ■ Training Course
■ Surveys and Research ■ Volunteering ■ Doctor/Pharmacy ■ Support Group
■ Advocacy and Campaigning
■ Media
Other
PAYMENT METHODS:
CA R D NUMBER
Proof
NA ME OF CAR DHOLDER
■ Visa/Mastercard ■ Cheque (Payable to The Carers Association) ■ Postal order (Payable to The Carers Association)
EX PI RY
We do not store your financial information in our records.
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