Executive Member Application

Andrion Club

The Executive Members of the Andrion Club need to be 18 years old and above, meet certain localization criteria and relationship with the Andrion Club, the island and the society of Andros, and be approved, upon submitting an application by the Board of Directors of the Andrion Club, in accordance with the Articles of Association, the Rules of Procedure and the decisions of its Board of Directors. Executive Members are the only category of members who have the right to actively participate, vote and be elected in the administrative bodies of the Andrion Club.

The annual Executive Membership Fee is 50€ per year

Personal Information

Name*

Surname*

Father’s Name and Surname

Mother’s Name and Surname

Date of Birth*

Occupation

Home Address

Street and Number

Postal Code

Area*

Country*

Contact Information

Home Telephone

Cell Phone*

Email address*

Locality Information

Citizen of Andros*

Origin from Andros*

Permanent Residence in Andros*

If “YES” how many years

Vacationing in Andros*

If “YES” how many years

Relationship with the Andrion Club

Reinstatement Application

If yes, Reason for previous disenrollment :

Relationship with a member of the Club

Member’s Name

Relationship with the above member

Recommending Members

Name*

Surname*

Cell Phone*

Email address*

I have received permission from the recommending member to use the above personal information*

YES

Name*

Surname*

Cell Phone*

Email address*

I have received permission from the recommending member to use the above personal information*

YES

Are you human?*

This field should be left blank

Andrion Club