Diversity Toastmasters Club - Membership Application

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Please complete this form to apply for full time membership to Diversity Toastmasters Club.

Email *

Your full name, please *

Home Address, please *

Are you over 18 years old? *

Our club is only open to people over 18 years old.

Yes

Are you a member of Toastmasters? *

No, I have never been a member of Toastmasters.

Yes, I am an active member of Toastmasters in other clubs.

Yes, I ever had been a member of Toastmasters Club, but not now.

Do you need a mentor, who support you learn in toastmasters program?

Yes, as I am new to toastmasters activities.

No, I am already an experienced toastmaster.

Clear selection

In case of new member, you need USD20 to purchase our educational program, PATHWAYS. Do you agree?

Yes

Clear selection

Monthly membership fee is USD9 or 1,000yen. From which month would you like to join? *

Understanding of Process and Diversity TMC responsibilities https://www.toastmasters.org/about/toastmasters-promise *

Before applying to be a member, please ensure that you understood the process and you are prepared to fulfill the member responsibilities to the best of your abilities. Please read here. https://www.toastmasters.org/about/toastmasters-promise

I understood the Diversity Toastmasters process and members responsibilities and I am prepared to fulfill them to the best of my abilities.

Required

Any other comments or questions?

A copy of your responses will be emailed to the address you provided.

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