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Membership

Membership Details

Family $ 20.00 (annual)
Single $ 15.00 (annual)
Life $ 150.00

Please make check payable to: Mysore Mallige
You may send us your details below and mail your check to:

Mysore Mallige Kannada Koota
Attn: Aruna Setty
3216, Yorkshire Ct,
Bloomington, IL 61704

Name of Primary Member:
Name of Spouse:
Name of Children:		Age :
		Age :
		Age :
Address:
City:
State:
Zip:
Your Email:
Your Phone Number:
Talents you or your family can offer:
Activities you or your family would like to volunteer in:
Can we publish your address,telephone number and email address in the directory: (Check the boxes if your answer is "YES")	Print Version: Web Version :

Note: Your personal information will be strictly confidential and will not be shared with any third party.