JOIN JANHIT MANCH FOR LIFE

    Please Read & Fillup the following Form, then Click Send Button to send this form to the Manch office.
    Send your membership cheque through Courier.


BECOME A MEMBER


Please fill in the following details:
Life Member: Rs. 2000/-
Patron Member: Rs. 5000/-
Donor Member: Rs. 10000/-
Advocate Member Concessional rate of 50% in all the above categories.
Name
Date of Birth
Qualification
Business/Job Details*
Husband/Wife's Name
Member's Name
Mailing Address
Tel. No. Office
Tel. No. Residence
Cell No.
Fax
E-mail
Proposed By
Seconded By
I want to join Janhit Manch as above selected criteria member and have read aims, objects, rules, regulations thereof and undertake to abide by the same.