AVA Ireland Online Membership Application

First Name: Surname:  

Virtual Assistant Business Name:

Date of Establishment:

How many years have you been a Virtual Assistant? :: Select Years :: Less than 1 Year 1 Year 2 Years 3 Years 4 Years More than 5 Years

Address:

Phone:

FAX:

Email Address: 

VA Business Web URL (Mandatory): 

Brief Profile of VA Business:

Brief List of Services You Provide:

Specialist Skills / Services (If any):

Other Relevant Information:

How did you hear about AVA Ireland?:  :: Select One :: Internet Link Referral Media Just Surfered In! Word of Mouth Other (Use drop down arrow)

(Please tick) In the event that my application is successful, I agree to the terms and conditions of AVA Membership.

Click the SUBMIT button to send this application to AVA Ireland.