Network Registration Please enable JavaScript in your browser to complete this form.Please enable JavaScript in your browser to complete this form.Network InformationNetwork Name *Network Address *Network Leader Name (1) *FirstLast Network Leader Name (2) – (Only if there is a second Network Leader)FirstLastNetwork Email *EmailConfirm EmailNetwork Phone Number *WEBSITE LISTINGAll Networks will be listed on the website www.reflexology.ie. Please fill out the details below as you would like them to appear. Please note the details submitted here will be available for public viewing. It is recommended to use a separate phone/email if possible from your personal business. Name for Public Viewing *FirstLastPublic Phone Number *Public Email (optional)EmailConfirm EmailSocial Media PageTown(s)Please list the closest town to the location of your Network.List on WebsitePrice: €500.00Stripe Credit Card *LEGAL AGREEMENTSYou must give formal consent to the following in order to register your Network. GDPR Agreement *I consent to the Irish Reflexologists’ Institute to retain the information provided in this form. I understand it will be processed as required in line with good governance as determined by the Board of Directors, Staff and Volunteers of the IRI in line with the designated business and the IRI Constitution. I understand this may include sharing details with Insurance providers and other associated businesses in line with the IRI GDPR policy and practices.IRI Code of Ethics (details can be found on Website) *I agree, that as Leader (1) of this Network, to be bound by the Irish Reflexologists’ Institute Code of EthicsDeclaration *I declare that all the information supplied in this form is true and accurate.Name Network Leader (1) *FirstLastName Network Leader (2)FirstLastSubmit
