Toastmasters Membership Application
Club Number: 5964
District Number: 91 (Division K Area 58)
Club Name: Broadgate Speakers
City: London
Title *
Name *
Address (including Postcode) *
Home Telephone no. *
Mobile/Work Telephone no. *
Email Address *
New Membership - Online Membership Fee
Starting from Dec 2020 until March 2021 and beyond. April is start of Toastmaster’s Year

Start Date Membership fee on-Line Pro Rata

Dec 2020 £44 (4 Months membership)
Jan 2021 £33
Feb £22
Mar £11
Apr £130 (12 Months Membership - recommended)
£65 (6 Months Membership)
May £55
June £44
July £33
Aug £22
September £11

Membership Fees as a Full registered member of Toastmasters. If registration is a not a concern but membership includes all other Club Benefits then fee is a rolling payment of £25 for 3 months or £50 for 6 months
Already Membership of another Toastmasters Club? – please supply your Membership Number
Payment Method *
Members Agreement and Release:
Consistent with my desire to take personal responsibility for my conduct, individually and as a member of a Toastmasters club, I agree to abide by the principles contained in “A Toastmaster’s Promise” and the governing documents and policies of Toastmasters International and my club. I will refrain from any form of discrimination, harassment, derogatory, illegal, or unethical conduct, and I understand that if I engage in such conduct, I may be responsible to reimburse Toastmasters International, my club or other clubs, or other individuals involved with Toastmasters, for any damages, losses, or costs resulting from my conduct.
Understanding that Toastmasters programs are conducted by volunteers who cannot be effectively screened or supervised by Toastmasters International or its clubs, I release and discharge Toastmasters International, its clubs, governing bodies, and representatives from any liability for the intentional or negligent acts or omissions of any member or officer of my club or other clubs, or any officer of Toastmasters International.
Signature (typed) *
Never submit passwords through Google Forms.
This content is neither created nor endorsed by Google. Report Abuse - Terms of Service - Privacy Policy