GASC Club New Membership Registration Form

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

First Name Last Name
E-mail *
Phone Number *

Area Code Phone Number
Date of Birth *

Day Month Year
2nd Member

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

Area Code Phone Number
2nd Member Date of Birth

Day Month Year
Address: *

Street Address

Street Address Line 2

City State / Province

Postal / Zip Code Country
I/We am/are interested in:-

Events - Music, Food, Dancing Quizzes Days Out
Any other Comments
Payment Options

Debit Card Google/Apple Pay In 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
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Membership New member
€ 10.00 How Many

Total

€ 0.00
Should be Empty: