Request edit access
Indus General Membership Purchase Form
Thanks for your interest in becoming a member! Please fill out the information below to confirm your membership.
Sign in to Google to save your progress. Learn more
Name (First Last) *
Year *
Berkeley Email *
Phone Number *
Format: XXX-XXX-XXXX
Are you buying a one-year membership or lifetime membership? *
Did you Venmo @BollywoodBerkeley? *
$20 for one-year membership or $35 for a lifetime membership!
T-Shirt Size *
Submit
Clear form
Never submit passwords through Google Forms.
This content is neither created nor endorsed by Google. - Terms of Service - Privacy Policy

Does this form look suspicious? Report

Google Forms