Dunedin Toastmasters Membership Sign-up
Club membership contact: email vpm-2890@toastmastersclubs.org or phone 021-026-17386
First name *
[Required]
Middle name(s)
[Optional]
Last name *
[Required] Your surname / family name
Prefer to be known as
[Optional] For example, if your first name is "Benjamin," you may prefer to be known as "Ben."
Gender
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Postal address *
[Required] Toastmasters International requires a mailing address for correspondence. Please provide your full postal address, including city and postcode. 
Home phone number
[Optional] please provide your home landline, including area code
Mobile phone number *
[Required] Please provide your cellphone number
Primary email address *
[Required] Please provide your email address for correspondence. This is the main way that routine club communications will be sent to you.
Secondary email address
[Optional] Some people have a second email address. We will use this if your primary email does not work.
How did you hear about Toastmasters?
[Optional]
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