Cairde Ghaillimh le Gaeilge Form "*" indicates required fields Cineál / Type* Duine / Individual Comhlacht / Company Ainm / Name*Ainm an Chomhlachta / Name of Company (má bhaineann / if applicable)Iarrthóir / ApplicantSeoladh / Address*Fón / Phone*R-phost / Email* Gréasán / WebsiteCé chomh cairdiúil? / What kind of friend?Is mian liom a bheith i mo / I would like to be:* Duine Aonarach/ Individual: €50 Cara: €80 Cara Maith: €280 Dlúthchara: €850 Seirbhís trí Ghaeilge / Service in IrishIrish language service provided byAinmR-phost / E-mail GDPR: Cuir tic sa bhosca / Please tick ✓ If you consent to the retention of your data by Gaillimh le Gaeilge. If you wish to be included on the mailing list If you consent to your image being used by Gaillimh le Gaeilge in their marketing efforts. Go raibh míle maith agaibh!If you have other employees that would like to be included on our mailing list, have them contact [email protected] to confirm their details. You can opt out of the above at any time by emailing [email protected]Total Payment Method*PayPal CheckoutCredit Card MasterCardVisaMaestroSupported Credit Cards: MasterCard, Visa, Maestro Card Number Expiration Date Security Code Cardholder Name
