MARATHI VISHWA - MEMBERSHIP

MARATHI VISHWA MEMBERSHIP

Full Name*

Spouse*

Mailing Address*

Telephone No. (Home)*

Cell No.*

Email ID*

Children's Details*

Name

Birth Year

For Extended Family Member only

1. Full Name *

2. Full Name *

Please select one of the boxes for the type of membership applicable to you.

Type of Membership	Annual Membership		Life Membership (One time payment)
Family		$110		$1250
Family Senior Citizens (over 65)		$95		$800
Individual Youth (Age 12 - 18)		$75	NA
Individual & Senior Citizen (over 65)		$75		$625
Full Time College Student (with valid Photo ID) 75% discount		$35	NA
Extended Family		$135	NA

Membership Dues	:	$
For voluntary tax deductible contribution towards MVCC, Scholarship and General fund please use Donation page (Make a payment > Donation)

Total Payment	:	$

Notes :

Some of the Membership Information may be shared with BMM for the BMM Namasuchika.

Please type in the security code in the image above.

Security Code :

A Registered Non Profit, Cultural, Educational and Service Organization. Copy right- Marathi Vishwa, New Jersey Creation: VISION_N