JCI Lemesos Member Application Form
Complete all your personal and home address details in the fields below, even if your business/ company is funding your subscription.
E-mail is our preferred method of communicating with members and therefore we would kindly request that you complete your e-mail.
It is important that you also complete all your business details below. All our members' business details are requested solely for JCI Lemesos and/or JCI Cyprus statistical and external target marketing purposes.

Anuual Subsription Fee €30.

Applicants must be between 10 and 40 years old.

You will receive payment details via a separate email once you complete the form below.

Facebook Page: https://www.facebook.com/JCILemesosCY/
email: info@jcilemesos.com

Thank you in advance.

Email address *
Name *
Your answer
Surname *
Your answer
Address *
Your answer
Date of Birth *
MM
/
DD
/
YYYY
Home Phone number
Your answer
Mobile Phone number *
Your answer
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