Membership and Information Service

DES Action Ireland - Application for Membership

Membership is open to all DES-exposed people, those who may be DES-exposed, their family and friends and all who support the aims of DES Action.

Name: ________________________________

Address:
________________________________
________________________________
________________________________
________________________________

I am a DES daughter DES mother DES son other

I enclose my membership € 20 a donation

All subscribers will receive the DES newsletter twice a year.

Please print out and complete this application form and forward with your subscription to:

The Secretary,
DES Action Ireland,
Carmichael House,
North Brunswick Street,
Dublin 7.

Information Service

If you feel you would like to speak to our Information Officer about DES (stilboestrol), we provide an information service at 01-6762873.