Membership Application / Renewal Form

First Name*
Last Name*
Email Adress*
example@example.com
Title
About You
Please select which one of the following applies to you. A permanent resident is one whose main residence is in Kamares Village.*

I am a permanent resident of Kamares VillageI am not permanent resident of Kamares VillageI am not a resident of Kamares Village
Additional members of household

yes
Your Address In Cyprus
House Number and Street*
Council*
Zelemenos is Koili and the rest of Kamares is Tala
Other
Postcode
Koili is 8543 / Tala 8577
Your Telephone Number(s) - no spaces

These will be rarely used and only in case of email problems or emergencies
Cyprus Mobile
Cyprus Landline
Other Number

Country CodeArea CodePhone Number
Membership Undertaking

Please complete the following sections which are required before we can process your application or renewal
I Confirm that:

I am over 18 years of age

I have not been convicted of any abuse in the context of my involvement in operations of a non-profit organisation or of an offense involving lack of honesty or moral disgrace

I agree to the information on this form being stored electronically and used in accordance with the KVHA Privacy Policy

I will tell KVHA of any changes to my circumstance that affect the answers I have given at any time in the future while I remain a member

Information I have provided is correct
-*

I so confirm
The Subscription rate is €10 per household per year

Please pay online at the end of this form.
Some members may wish to make a voluntary contribution to enhance KVHAs ability.

Suggested contibution levels are

Bronze €50

Silver €51-€250

Gold €251 and above
Would you like to make an additional voluntary contribution

Yes
Additional contribution €
h
r
Should be Empty:

About You

Your Address In Cyprus

Your Telephone Number(s) - no spaces

Membership Undertaking

The Subscription rate is €10 per household per year