Application for Membership in Oviedo Toastmasters

Club #3179 - Area 42 - Division D - District 84


To become a club member, please
1. Completely fill out and sign the Membership Application.
2. Completely fill out and sign the Payment Information document (page 3).
3. Submit both completed and signed documents to the club officer.
4. Please check here if you use assistive technology (such as a screen reader) to view your educational materials.

For questions, please contact

Applicant Information

If you are a Dual or Transfer Applicant, please provide the following:

The monthly Toastmaster magazine will be sent to the following address:

Sponsor of New, Reinstated, or Dual Member

Toastmasters Dues and Fees

For a full explanation of our dues, please go to:

Member’s Agreement and Release

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 and the Toastmasters 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 agree 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 application, 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 officers 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:\login. I understand that the majority of the data requested in this application is necessary for administrative and
planning purposes.

For our full privacy policy, you may visit

Verification of Applicant

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.

Electronic Signature