Membership Form: Gowda Saraswath Sabha UK
Registered UK Charity No. 299275
Regd. Office: Gowda Saraswath Sabha (UK), 82 Priory Field Drive, Edgware, Middlesex HA8 9PU
web: www.gssuk.org | facebook: Gowda Saraswath Sabha | twitter: @gsbukorg
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Postal Address *
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Email *
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Contact No.: Home
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Contact No.: Mobile *
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Number of family members *
Name of Spouse:
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Names of Children, Age (Ex. Adam Smith, 12):
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Choose a membership type (payment details below) *
Standing Order Mandate for annual membership? *
MEMBERSHIP PAYMENT DETAILS
MEMBERSHIP OPTIONS:
Annual Membership: £15 per annum | Life Membership: £150

BACS
Account Name: Gowda Saraswath Sabha (UK)
Bank Name: Punjab National Bank (International) Ltd.
Account No.: 11000303
Sort Code: 60 95 00
Reference: First name initial, Surname, Annual (Example: VPrabhu Annual)

CHEQUE PAYMENT
Cheques payable to 'Gowda Saraswath Sabha UK'. Please send your cheque by post to our Treasurer –
Mrs. Sujatha Bhat, 82 Priory Field Drive, Edgware, Middlesex HA8 9PU

STANDING ORDER
For Standing Order Mandate, please contact and instruct your bank/building society.

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