Member Application – Tampa Parliament

Tampa Bay Parliament Membership Application

חברות בפרלמנט בוקה

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אנא מלא את בקשת החברות והגש אותה לאישור הוועד המארגן

Please Review the Member’s Pledge
Before Filling Out Registration

* – Required Fields

Review the Member's Pledge

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Review the Member's Pledge

View | Download

Dummy Image

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חברות בפרלמנט בוקה

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אנא מלא את בקשת החברות והגש אותה לאישור הוועד המארגן

* – Required Fields

REQUIRED SECTION

Username*

Membership Fee: $250

CashCheck

New Member?

Yes - I'm A New Member

Membership / Non-Membership Type*

Password*

Confirm Password*

First Name

Last Name

E-mail Address

Phone Number

Address

OPTIONAL SECTION

Occupation

Education

Hobbies

Interests

Qualified/Interested Topics to Lecture About?

A Note

Expectations From Your Tampa Bay Parliament Membership?

Spousal Information

Number of Children

Ages

Spouse's Occupation

Add Your Profile Photo

Recommended by 2 Members

Chapter

ACCEPTANCE REQUIRED*

I FULLY ACCEPT THE TERMS HIGHLIGHTED IN THE MEMBER’S PLEDGE (אמנת פרלמנט בוקה)

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