Foirm Chairde Ghaillimh le Gaeilge "*" 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 ✓ Má thoilíonn tú gur féidir le Gaillimh le Gaeilge do chuid sonraí a choinneáil. Más mian leat a bheith ar an bpostliosta Má thoilíonn tú gur féidir le Gaillimh le Gaeilge d’íomhá a úsáid ina chuid ábhar margaíochta. 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