Cleft lip & palate association of ireland



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CLEFT LIP & PALATE ASSOCIATION OF IRELAND






Mailing List Subscription Form

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(More than one family member may subscribe)
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Title/Forename: _____ _______________________


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Select the appropriate category:

I am a parent


I was born with a cleft
I am a medical professional
None of the above

Second family member:

I am a parent
I was born with a cleft
None of the above

Date: _____________________________




Send to: Cleft Lip & Palate Association of Ireland,

c/o 36 Woodlands Avenue, Dun Laoghaire, Co. Dublin, Ireland

Privacy Statement
The Cleft Lip and Palate Association of Ireland (CLAPAI) is committed to maintaining the privacy of those who furnish personal details to the Association. Personal information where provided is only used to improve the services CLAPAI offers to you, or to contact you regarding matters of the Association. Please do not furnish any information to the Association which you do not want held on record. The individual retains the right to opt-out of receiving any communications. Personal information furnished to CLAPAI is held in strict confidence and is not made available to third parties.
_____________________________________________________________________________________________

The Cleft Lip & Palate Association of Ireland, registered charity, is a limited liability company, No. 131497.



URL: www.cleft.ie | e-mail: info@cleft.ie


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