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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