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Annual Student - $10
Annual - Single - $20
Annual - Family - $40
Family - Life - $201
Patron - $5000
Note: Annual Single and Student memberships can be signed up at our events with proper identification.
Member Type:
Primary
Relation:
First Name : *
Last Name : *
Previous Surname:
Street : *
City : *
State : *
--Select--
Connecticut
Maine
Massachusetts
New Hampshire
RhodeIsland
Vermont
Zip : *
Home Phone :
Mobile Phone* :
Member's Email : *
Member's Profession :
Interests :
Are you a person of Telugu Origin?
Yes
No
Volunteer :
Yes
No
Photo :
Date of Birth :
--Add Member--
Spouse
Son
Daughter
I agree to the terms and conditions.
Payment Amount :
$40
;
