Bay Area Prabasi Online Membership Form

[ Note: Membership for 2009-2010 is closed now. ]

Title and Name :

First: Middle:  Last:

Home Telephone Number :

Daytime Telephone Number :

 (optional)

Address Line 1 :

Address Line 2 :

 (optional)

City :

 State : ZIP : -

Membership Type :

Do you want to enroll

 your spouse as a member? Yes No (I just want a single membership)

Full name of spouse :

 (only if you answered Yes above)

Number of Children :

 (age 3 years or less) (age more than 3 years)
  (Membership is free for children below 3 years, but this is needed for head-count)

Are your parents included :

Number of food plates for Saturday dinner :

Number of food plates for Sunday lunch :

 

 You can pre-pay for your food coupons at the time of registration.
Food plates will be available for $7.00 each. You can order food for Saturday dinner and Sunday lunch.
Note: Lunch on Saturday (bhog) is free for all. Patron members do not need to purchase food coupons separately.

Number of Guests :

Email Address(es) :

 (separated with commas)

You must supply your correct Email address because we will send you your password through Email only.

Comments (if any) :

     

Important Clarification: Prabasi does not have a pro-rated membership system. Our membership is for one year and starts on July 1st and ends on June 30th of the following year. Membership renewal usually begins before Durga Puja. There is no pro-rated membership. So becoming a member at the beginning of our fiscal year is always good for the member and helps the Board to prepare Prabasi's yearly budget.

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