sobreti
First Name*
username
Last Name*
apellidos
Gender *
sexo
Document Type *
document_type
dni
passport
nie
Upload your document
documenttype
dnidoc
Date of Birth*
nacimiento
Membership type*
membership_type
(Husband/Wife/Common law partner or similar)*
Member Name*
nombre-socio
Membership number*
id-socio
Phone*
phone
Address Line 1*
udireccion1
Address Line 2
udireccion2
Town / City*
uciudad
Postal Code*
uscp
Country*
pais
Email*
bemail
Repeat your email address*
rbemail
Password *
cpassword
Repeat your password *
rcpassword
Nationality*
nacionalidad
tufoto
Please attach a recent headshot of yourself*
tufoto
photo
tutrabajo
Nature of Business*
sector
Business Name*
nombre
Position Held*
puesto
Address Line 1
direccion1
Address Line 2
direccion2
Town / City
ciudad
Postcode
cp
Country
pais
Business Telephone
telefono
Work Email
recomendaciones
Proposer 1
Name
sponsor1
Membership number
sponsorID1
esponsor1
Recommendation letter
carta1
letter1
Proposer 2
Name
sponsor2
Membership number
sponsorID2
esponsor2
Recommendation letter
carta2
letter2
OUR MEMBERSHIP TEAM WILL BE IN TOUCH DIRECTLY WITH YOUR PROPOSERS TO CONFIRM THEIR RECOMMENDATION.
recomendaciones
Name
nombreProposer
emailProposer
porquetu
Please provide us with a brief career history* (write at least 50 characters)
carrera
What do you think you will add to the Los Patios Ibiza community?* (write at least 50 characters)
aportacion
If required you can provide us with some links supporting your application.
Link 1
enlace1
Link 2
enlace2
Link 3
enlace3
Link 4
enlace4
preferences
Which type of events would you like to see at Los Patios Ibiza?*
preferences
What is your preferred event schedule?*
schedule
What is your preferred language? (For e-mails and other information)*
language
no-email
terms
We are almost done. In the next step you will have to fill in your payment information, and you will not be able to go back. Please review your information before proceeding to payment.