RECEIPT NO .......................
| APPLICATION FOR MEMBERSHIP FOR 2010 |
To
Indian Association
Gandhi Hall, Brunswick Road, Withington, Manchester M20 4QB
| I/we would like to become member(s) of the Indian Association. I/we agree to abide by the rules and regulations of the Association. |
Signed
........................................................................Date:..............................
Full Name (in capital):
Address
Post Code...........................
Email: ..................................................................................................
Telephone:
Please tick as appropriate
Annual
|
Individual |
£6 |
|
|
Family* |
£12 | |
Life
| Individual | £60 |
| Family* | £120 |
| Patron | £240 |
Method of Payment
| Cash | |
| Cheque |
|
Cheques should be made payable to 'Indian Association'. |
* Family membership covers husband, wife and children upto 18.