Membership

Complete this form to apply for membership

Please be aware that in keeping with our bylaws your application will have to be reviewed and approved by the board, once it has been reviewed we will get in touch with you.

Name(Required)
First Middle Last
Address(Required)
Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country
Date of birth
Month
Day
Year
Phone(Required)
Cell
Email
Do you have a sponsor?(Required)
- Yes
- No
Name(Required)
First Last
Sponsor's Telephone or Cell Number(Required)
Please tell us a little about yourself and why you wish to become a member.(Required)
A short paragraph to help the board get to know you better.
CAPTCHA
Consent(Required)
I agree to uphold the Portuguese Cultural Centre's Constitution and bylaws and give my consent to the Portuguese Cultural Centre to use the information provided to communicate with me as necessary.
Date(Required)