Club Membership Registration Form

Toastmasters Membership Application

Vienna Toastmasters Club 551, c/o VAÖ, Reitschulgasse 2, 1010 Vienna
1. Membership information
Starting date of your membership:*

MonthDayYear
Membership type:

NewReinstated (former member of a TM club, currently not active)Transfer from other clubMultiple TM memberships
Name*

First NameLast Name
Email*
Mobile phone:*
Work phone:
Address:*

Street Address

Street Address Line 2

CityProvince

Postal codeCountry
Birth Date:

MonthDayYear
2. About you
Education:
Languages:
Hobbies:
Motto:
My initial Goal being a member is...:
3. Membership fee
New member fee - only new members of Toastmasters International (TMI)! This one time fee covers the costs of registration at TMI:

€ 50
Membership dues (all members)—select the month you join:*

October: € 216February: € 144June: € 72November: € 198March: € 126July: € 54December: € 180April: € 108August: € 36January: € 162May: € 90September: € 18
Total membership fee (new member fee + membership dues):*
If you join in September please sign up for 13 months (new membership fee if applicable + € 234)
4. Payment
Please wait for confirmation from our end before transferring the membership fee to the following account:

IBAN: AT902011131005303099

BIC: GIBAATWWXXX

As soon as the fee has been received in our club's account, we will contact you concerning next steps to become an official club member.
Should be Empty:

Toastmasters Membership Application