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Online Registration

All the fields italicized below are required.


Provide Information about the Applicant:


First Name: 

Last Name: 

Address: 

 

 

City: 

State: 

ZIP: 

-

Daytime Phone: 

- -

Evening Phone: 

- -

Email: 


Provide Personal Data about the Applicant:


Number of Adults:

 

Number of children:

Provide any additional information you would like us to know either about your family or regarding this membership application:

Please check the areas of your interests:

Classical Music

Light Music

Dance

Literature

Drama

Outdoor Activities


Choose Membership Type:


Lifetime Sponsor ($450)

Family Sponsor ($70)

Couple Sponsor ($40)

Single Sponsor ($25)

Basic Member ($12)

Please refer to

member benefits page

for member benefits.



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Bay Area Tamil Manram

P.O. Box 362329, Milpitas, CA 95036-2329


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