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 " ($50.00 per family for the year 2009-2010)
Membership $
__________ |
Donation $ __________ |
Misc $ __________ |
Total $ ______ |
Date:
______ |
Check # ____ |
Cash $
_____ |
Total $
______ |
| |
|
|
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| Name: |
_____________ |
| Spouse: |
_____________ |
Children:
Name (Ages) |
_____________( ) |
| |
_____________(
) |
| Address: |
_____________ |
| City, State,
Zip |
_____________,
________, _________ |
| Email ID: |
_____________ |
| Phone: |
_____________ | |