Membership

We are mandated to promote, preserve and propagate
Indian Music, Arts and Literature in Ontario

Registered Charity, Estd. 1992

MEMBERSHIP FORM

JAN – DEC 2011

First Name * :
Last Name * :
Initials :
Address :
City * :
Prov * :
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Telephone # Home * :
E-mail * :
Membership Details *
(Check That Is Applicable)		 :  Family ($ 50) Single ($ 30) Seniors ($ 30)
Mailing Address *
No of members in family :
Children (Less Than 18 Years Old) :
Mode Of Payment * :  CHK CARD
Visa Card# * :
Verification Code* : captcha

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