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.

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