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INTERNATIONAL JAIN SANGH, INC. (Non-profit tax-exempt organization. Fed. ID 22-3655912) 42 Cotswold Circle, Ocean, NJ 07712
Tel: (732) 493-0093
MEMBERSHIP APPLICATION
Date:
(Please Print)
I hereby apply for membership in International Jain Sangh :
Last Name: Family member's names:
First Name
Address:
Home Tel.: ( Work Tel: ( E-MAIL:
). )
)
Fax: ( Fax:
Enclosed are the membership dues for the current calendar year [ ] $25.00 Annual membership [ ] $251.00 Life membership
Signature
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