Membership
Download
Membership Form
Please download the membership form and send
it to the following address.
Nrupathunga Kannada Koota
660 Crescent Ridge Tr., Mableton GA 30126.
You will need to fill out the following information.
Checks can be made out to: " Nrupathunga Kannada Koota
"
Membership $
__________ |
Donation $ __________ |
Misc $ __________ |
Total $ ______ |
Date:
______ |
Check #
____ |
Cash $
_____ |
Total $
______ |
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| Name: |
_____________ |
| Spouse: |
_____________ |
Children:
Name (Ages) |
_____________( ) |
| |
_____________( ) |
| Address: |
_____________ |
| City, State, Zip |
_____________, ________, _________ |
| Email ID: |
_____________ |
| Phone: |
_____________ |
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