GHANAIAN ASSOCIATION OF TAMPA BAY, FLORIDA
REGISTERATION FORM AND CONTACT INFORMATION
Email *
Last (Family) Name *
First Name *
Middle Name
Date of Birth            MM/DD *
MM
/
DD
Mailing Address *
Phone number *
Profession - (optional)
Name of Spouse / Partner
Children's Name & Age
Child 1:  Name:             Age:            Date of Birth:
Child 2:  Name:             Age:            Date of Birth:
Child 3:  Name:             Age:            Date of Birth:
Child 4:  Name:             Age:            Date of Birth:
Child 5:  Name:             Age:            Date of Birth:
Are you a registered member of Ghanaian Association of Tampa Bay (GATB)? *
Required
Do you want to be a member of Ghanaian Association of Tampa Bay (GATB)? *
Required
If your answer is No to the above; Why? 
Emergency Contact: Name / Phone / Email *
New Member Registration & Annual Dues $80.00
Current Members Annual Dues $60.00
(Use any of the payment methods below for all remittances)
Payment Information:     http://www.gatbfl.org/  PayPal,      CashApp: $GATBFL, Zelle: Ghana.tampabay@yahoo.com
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