Panorama Toastmasters

Club Information

Name

First Name *

Middle Name

Last Name *

Gender

Female

Male

Prefer not to say

Non-binary

Address

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

Organization/In Care Of

Address 1 *

Address 2

City *

State *

Zip *

Email *

Mobile phone *

Home phone

Membership Type

A one-time fee is required with your membership application.

New ($35.00)

Dual ($15.00)

Reinstated ($15.00)

Transfer ($15.00)

When would you like your membership to begin?

Panorama Toastmasters membership is $9.00/month. Membership dues are paid twice a year (April 1st and October 1st) by all members and dues are pro-rated from the member’s start month:

Immediately

Next Month

One-time fee	$35.00
Monthly dues	$54.00
Processing fee	$2.00
Total due	$91.00

For membership from October 21st, 2025 through March 31st, 2026.

Once your application is accepted, our Treasurer will send you a PayPal invoice for the amount shown above.

Member's Agreement and Release

A Toastmaster’s Promise

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 typed name below constitutes my signature, and is legally equivalent to my handwritten signature.

Full name *