KCS Bilingual Toastmasters Membership and Club Officer Information
Please complete and submit this form  to register as a member of KCS Toastmasters Club. If you are paying using paypal, return to this form after payment and submit.
Sign in to Google to save your progress. Learn more
Membership type *
Previous Club Number
Member Number
Club Officer Role (if any)
Last Name/Surname *
First Name *
Middle Name
Organization/In Care of *
Address Line 1 *
Address Line 2
City *
State *
Country *
Zip Code *
Email address *
Home Phone Number
Mobile Phone Number *
Membership Fees (Return to this form after payment using paypal and submit to complete the registration)
PayPal (Please write your name and "Toastmasters member fees" in Notes): https://paypal.me/kcsmw
or
Send a check for $45.00 (Please write your name and "Toastmasters member fees" in Memo line) payable to "KCSMW" to: 13618 Duhart Road, Germantown, MD 20874
Payment Confirmation (If paid using paypal please enter the confirmation code. If you are paying by check, please indicate that) *
Submit
Clear form
Never submit passwords through Google Forms.
This form was created inside of Kerala Cultural Society. Report Abuse
Google Forms