Membership Form

Please fill this Membership Form 
Please check one
New Member Renewing Member
 (if so specify Mem no.)
I wish to apply for membership of Nanakshahi on behalf of:
My own self
Organization: (full name of organization)
Please print or type information or attach your business card.
This information will be included in the Nanakshahi membership directory.
Name
Address
Telephone (with code)
Fax (with code)
Mobile
Email Address
Occupation
Designation / Job title
Organization
Address
Telephone
Fax
Website
Are you a member of any other organization, if yes, please specify (optional)
Institution
Address
Membership Subscription Categories: (please indicate appropriate membership to avail)
Student/regular*
Active/Associate*
Corporate*
Honorary
Life
*Membership fee covers a calendar year from 14 March (1 Chet) to 13 March (30 Fagan)
Would you be prepared to become actively involved in organising?
Talks
Outings (day trips/ weekend)
Public relations
Identifying Projects to support
Writing/Drafting for Nanakshahi Research work
Volunteering in Nanakshahi events
Others - Please Specify
Comments / Suggestions
Signature Date                                     
Nanakshahi may share membersí contact details with other members from time to time for professional networking purposes.

If you do not wish to have your details shared in this way please tick here:

Contact Information:

The Nanakshahi Trust,
867, Sector 64, Sahibzada Ajit Singh Nagar, Panjab - 160065
Telephone: + 91 (0) 172 2234867;
Email: begampura@nanakshahi.org
Website: www.nanakshahi.org