ACS Canberra Toastmasters Membership Application
Clubs within Districts
acscanberratoastmasters.org.au
Where Soft Skills Are Developed
Club Number:
District Number:
1 5 4 4 5 8 4
Club Name: ACS Canberra Toastmasters Club
Membership Type:
□New □Reinstated
(break in
membership)
Month/Year Joined:
Family Name:
Given Name:
Address:
City &
Postal Code:
70
City: Canberra ACT
□Dual Member
□Renewing
# □□□□□□□□ (if known)
(no break in
membership)
Middle Initial / Name:
State:
For fast service, submit
the completed
membership application
form and pay online now!
Cell
Work Phone
Email:
Phone
□ Male
□ Female
Number:
Number:
□ Please do not send promotions to me from Toastmasters International’s partners.
Payment Information:
1. New Member Fee $ 30 Paid only by new members. This covers costs of the New Member Kit and
processing.
2. Membership Dues (all members) Pro-rated at $11 per month. Month chosen must match
“month/year joined” listed above.
□ October
□ November
□ December
□ January
□ February
□ March
3. Total of 1 and 2 $
or
or
or
or
or
or
□ April
□ May
□ June
□ July
□ August
□ September
AU $66
AU $55
AU $44
AU $33
AU $88
AU $77
Account Name:
ACS Canberra Toastmasters Club
Bank:
Commonwealth Bank
BSB:
062 904
Account Number:
1042 7515
All payments must be made by direct transfer to the ACS Canberra Toastmasters bank account.
Note: Please quote your last name ending with ACSTM for your payment reference. SO WE CAN IDENTIFY YOUR PAYMENT.
New/Reinstated/Dual Member Sponsor: The person who recruited and/or encouraged the member to join.
Last Name:
First Name:
Home Club Number:
Note: To Ensure Proper Credit, please provide the Sponsor’s Full Name and Home Club Number if possible.
By my signature below, I agree to be A Toastmasters of ACS
Canberra Toastmasters Club, and certify that I am 18 years of
age or older, in compliance with the Toastmasters
International Club Constitution.
SIGNED (Applicant):
Meeting location:
Time:
Dates:
Contact:
84 Northbourne Avenue, Braddon, City ACT
6pm – 7.30pm
st
rd
1 & 3 Thursday of the month
+612 6143 5503 or [email protected]
By my signature below, I certify that this individual has
joined the Toastmasters club identified above. As a club, we
will ensure that this member receives proper orientation
and mentoring.
SIGNED (Club Officer):
Toastmasters International
Where the Leaders Made
toastmasters.org
ACS Canberra Toastmasters Membership Application
Clubs within Districts
acscanberratoastmasters.org.au
Where Soft Skills Are Developed
For fast service, submit
the completed
membership application
form and pay online now!
How to Join?
To Join ACS Toastmasters:
Step 1: Contact us on +026143 5503 or email [email protected]
Request a copy of membership form if you haven’t got one.
Step 2: Complete and sign the membership form
To join, you need to fill out the membership form and submit it to club office [email protected] for
process your membership with Toastmasters International.
Step 3: Pay your membership fees
There is a one-off joining fee of $30 for first-time Toastmasters and $11 per month for a subscription
which is paid 6-monthly in March and September.
Step 4: Attend to the meetings
Registration is necessary to secure a seat.
To register directly on the ACS website:
https://ibs.acs.org.au/xenng/eventcalendar.html?singleTab=search select the meeting date and register
by 2pm on the day.
2016 - 2017 ACS Canberra Toastmasters Club Officers
President:
Sergeant at Arms:
Secretary:
Treasurer:
Meeting location:
Time:
Dates:
Contact:
Jason Bushby
Kevin Read
Jenalle Wei
Jenalle Wei
84 Northbourne Avenue, Braddon, City ACT
6pm – 7.30pm
st
rd
1 & 3 Thursday of the month
+612 6143 5503 or [email protected]
Vice President Education:
Vice President Membership:
Vice President Public Relations:
Dylan Raymond
Tao Zou
Hendra Gunadi
Toastmasters International
Where the Leaders Made
toastmasters.org