Platinum Artistic Member Registration

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Relevant information for Toastmasters Application

Name in Full *

Email Address *

Contact number *

Home Address *

Street name, City, State, Country, Country code

Are you an existing Toastmaster?

If yes please write your Member ID and Club number. If not you can skip this questions

PAYMENT DETAILS

Please choose your payment method and confirm your payment actions.
Paying via PAYPAL, use following: stomer.alwyn@gmail.com

Paying via BANK TRANSFER (SWIFT) use the following:
Bank of New York
ABA: 021000018
Swift Code: IRVTUS3N

For Credit to

Bank of Saint Lucia Limited
P O Box 1862
Castries, St Lucia

Swift Code: BOSLLCLC
Bank Transit/Routing #:00000036

For Further Credit to

Account Number: 0514165937
Beneficiary Name:
Alwyn St Omer

Address:
Grand Reviere
PO Box 716
Castries

If you are using eg MONEYGRAM or WESTERN UNION use name and address above and phone # 9758)484-4363

How will you pay *

Credit Card (will contact you for details)

Paypal (use this address: stomer.alwyn@gmail.com )

Wire Transfer (ask for details)

Other

Other:

Consent *

By completing this form I formally consent to use this information to add me as a club charter member

Yes

Required

Official Membership Application Form

For our club's records we do ask you to print out the application form, fill it out, scan and email to our club email at: platinum.artistic.toastmasters@gmail.com
PLEASE CLICK ON THE LINK FOR THE APPLICATION FORM https://rb.gy/eojfkm

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