Registration

Toastmasters Membership Application

Club: Clapham Connectors

Club Number: 5513601

District 91 (UK South); District B; Area 8

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Thank you for your response. ✨

Name

Phone number

Address

Post Code

Are you a New, Dual, Reinstated or Transfer Member?

* If signing up for Reinstated or Dual membership, please specify your Toastmaster membership number:

** If Transferring, please specify which club you are transferring from:

How did you hear about us?

Permissions

I give permission for Clapham Connectors to contact me via:

Phone Whatsapp Email

Select the options below corresponding to acceptable contact methods:

Phone Email Post I would rather not receive non-essential communications

For the full privacy policy visit: www.toastmasters.org/Footer/Privacy-Policy.

Further permissions

I give permission for:

Clapham Connectors and its officers to use photos of me on the Clapham Connectors website or whatsapp group? Toastmasters International to use photos of me from club events in club promotional materials

Member agreement

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, the oastmasters International Governing Documents, and my club.

I will refrain from any form of discrimination, harassment, bullying, 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, officers, employees, agents, 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.

Should a dispute of some nature arise, I expressly agree to resolve all disputes, claims, and charges relating to Toastmasters, Districts, clubs, and Toastmasters members in accordance with Protocol 3.0: Ethics and Conduct.

By submitting this agreement I expressly agree to the following:

The collection, use, and processing of the personal information I provide to Toastmasters in this Membership Application for the purposes of organization administration, payment of my dues, and inclusion of my contact information in a members’ directory that will be distributed to members and employees of Toastmasters. In addition, the collection, use, and processing of my personal information collected by Toastmasters International through Toastmasters’ website and by electronic communications.
That my information may be accessed and used by Toastmasters, its employees and agents, District leaders, and club officers.
Maintain changes to my personal contact information to ensure it is accurate and current by updating my personal profile page located on the Toastmasters International website: http://www.toastmasters.org/Login. I understand that the majority of the data requested in this application is necessary for administrative and planning purposes.

A toasmasters agreement:

As a member of Toastmasters International and my club, I promise:

To attend club meetings regularly
To prepare all of my projects to the best of my ability, basingthem on the Toastmasters education program
To prepare for and fulfill meeting assignments
To provide fellow members with helpful, constructiveevaluations
To help the club maintain the positive, friendly environment necessary for all members to learn and grow
To serve my club as an officer when called upon to do so
To treat my fellow club members and our guests with respectand courtesy
To bring guests to club meetings so they can see the benefits Toastmasters membership offers
To adhere to the guidelines and rules for all Toastmasterseducation and recognition programs
To act within Toastmasters’ core values of integrity, respect, service, and excellence during the conduct of all Toastmasters activities

Verification

By my signature below, I agree to the terms of A Toastmaster’s Promise and the Member’s Agreement and Release stated above, and certify that I am 18 years of age or older (in compliance with the Toastmasters Club Constitution for Clubs of Toastmasters International).

I acknowledge that my electronic signature on this document is legally equivalent to my handwritten signature.

Applicants Electronic Signature

Date

Toastmasters Membership Fees

Your total fee for signing up will include a membership fee and a joining fee. Your membership fee will depend on which month you join Toastmasters and will cover the costs of membership until the next 6-monthly renewal period at the end of September or March. These are detailed in the table below.

Month you sign up	Membership fee	Joining fee	Total fee
April / October	£80	£30	£110
May / November	£66	£30	£96
June / December	£53	£30	£83
July / January	£40	£30	£70
August / February	£26	£30	£56
September / March	£14	£30	£44

Fees are payable in advance and are not refundable or transferable from one member to another. On receipt of your completed membership form we will send you the relevant bank details so you can pay your fees.

Thank you for joining!