Int Jain Sangh NJ 2002 04 Mahavir Jayanti

Author(s): Int Jain Sangh NJ
Publisher: USA International Jain Sangh IJS

Page 23

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 :
First Name
Last Name: Family member's names:
Address:
Home Tel.: ( Work Tel: ( E-MAIL:
). )
Fax: ( Fax:(
) )
Enclosed are the membership dues for the current calendar year [ ] $25.00 Annual membership [] S251.00 Life membership
Signature
[ ] I would like to volunteer in the following capacity:
Comments & Suggestions: _