Become a member

Young Men's Social Clubs Membership form

Please fill out the form below to renew your yearly membership. Please note we have made some amendments due to COVID-19. If you need assistance, please email admin@ymsc.bm. If you do not have a valid email, please use members@ymsc.bm.

Enter your email address *

First Name *

Last Name *

Date of birth *

Age *

Gender *

Male

Female

Other

Headshot Photo *

Drag and drop files here or Browse

Upload your passport size photo

Current Address *

Main contact number *

Second contact number *

Emergency Contact Name *

Emergency Contact Phone Number *

Please select a committee(s) you would be interested in joining. *

Please select Membership Tier *

Platinum ($250)

Silver ($175)

Associate ($100)

Honorary ($70)

Honorary Membership

Please choose if you making a one time payment or the payment plan. To be filled by persons already selected by YMSC Executive Committee.

Honorary Membership Payment Schedule *

One Time Payment

Other

Shirt size

Please state if you wish a Male or Female cut

Male or female cut *

Female

Male

Shirt size *

Payment agreement statement

To confirm your membership tier and payment agreement, please confirm by entering your name below once you have read the below statement.

Payment Proof *

Drag and drop files here or Browse

Please upload screenshot of your payment

Provide Bank and Reference *

# confirming payment to BNTB acct# 20006060047562100 below. *****Remember to put your name in the reference tab when making your online payment. EX. HSBC ref #1111111 or BNTB ref#7777777 or Clarien ref# 3333333

Confirmation *

I understand and agree to the payment plan selected and final payment should be completed by September 30, 2020, if on a payment plan. PLEASE CONFIRM BY ENTERING YOUR NAME BELOW.

Become A Member

Young Men's Social Clubs Membership form

Honorary Membership

Shirt size

Payment agreement statement

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