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VHP Membership Form
Vishwa Hindu Parishad Of America Membership Form
I am happy to support the work done by Vishwa Hindu Parishad
of America. Please enter my contribution in the following category.
[ ] Primary Membership - $25.00 [ ] Check Here if this is a renewal
[ ] Patronship - $1000+ [ ] Life Member - $500+
[ ] 3 Year Membership - $70.00 [ ] 5 Year Membership - $100.00
[ ] Sympathizer: $10 per year.
Canada Mexico and Other Countries:
[ ] By Surface Mail $25.00 (U.S.)
[ ] By Air Mail $40.00 (U.S.)
[ ] My additional contribution to support the work is $_________
Name: ___________________________________________ Date: ________
Address: _____________________________________________
City: ____________ State: ________ Zip: ____________
Telephone No.: _________________ (H) _________________ (W)
This is a Gift Contribution For:
Name: ___________________________________________ Date: ________
Address: _____________________________________________
City: ____________ State: ________ Zip: ____________
Telephone No.: _________________ (H) _________________ (W)
