CPSMA Membership Renewal Form

School Information

Roll Number

School Name

School Email

Landline

Diocese

Enrolment

Address Information

Street Address	City
County	Eircode

Principal Information

Principal First Name	Principal Last Name
Principal Mobile Number	Principal Email

Years as Principal

Chairperson Information

Chairperson First Name	Chairperson Last Name
Chairperson Mobile Number	Chairperson Email

Payment Information

Enrolment Band

Amount Paying

€

Paid Via

Credit Card

Cheque

EFT

Payments Methods

Credit Cards - You can pay with credit card via our website - www.cpsma.ie - My Account - Renew Membership and follow the online prompts

Cheques
If paying by cheque please send to :
CPSMA
New House,
St. Patricks College,
Maynooth,
Co. Kildare

EFT
If paying by EFT please see below details: Please note new Bank account details
Account Name : CPSMA, Bank of Ireland Maynooth.
IBAN : IE63BOFI90150370432810 BIC : BOFIIE2D
NB. Please insert the school roll number in the remittance line / message for receiver to enable us to identify the payment.