First name

Last name

Gender
FemaleMalePrefer not to sayNon-binary

Your email

Member type
New member – 20 EurExisting member (Reinstate/Dual/Transfer) – 0 Eur

Membership fees (prorated based on month of joining)
Oct or Apr (6 months) – 90 EurNov or May (5 months) – 75 EurDec or Jun (4 months) – 60 EurJan or Jul (3 months) – 45 EurFeb or Aug (2 months) – 30 EurMar or Sep (1 month) – 15 Eur

Member number (if available)

Street and Apartment / House number

City and Postal code

Phone number

Contact options
EmailPost

Notes

Please read the “Member’s Agreement and Release” and “A Toastmaster’s Promise” in this link: Membership application
Note: You do not need to submit the PDF form. The Form in the club website is sufficient for the club membership.

Signature (Type your full name to accept what you read in the earlier step)