GASC Club Membership Registration Form

GASC Club Membership Form
Is this a joint Membership Application?*
Name*

First NameLast Name
E-mail *
Phone Number *

Area CodePhone Number
Date of Birth*

DayMonthYear
2nd Member

First NameLast Name
2nd Member E-mail
example@example.com
2nd Member Phone Number

Area CodePhone Number
2nd Member Date of Birth

DayMonthYear
Address:*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip CodeCountry
I/We am/are interested in:-

Events - Music, Food, DancingQuizzesDays Out
Any other Comments
Payment Options

Debit CardGoogle/Apple PayIn Person at Sabadell Bank
PLEASE NOTE - If using the online payment option, this must be done using a Spanish Debit Card or Google/Apple account linked to a Spanish Bank. This is to avoid the 18 euros we are changed for any transaction made using Cards or Accounts that do not originate in Euros
prevnext( X )
Membership New member
€10.00 How Many
Item subtotal:€0.00

Total

€0.00
Should be Empty: