DISA Membership Form
Denmark Indian Sports Association (DISA)
Membership form for year 2023-2024

Sports Membership:
250 dkk per person and 500 dkk per family (2 adults + 2 kids under 10 years)

Event Membership:
100 dkk per family (2 adults + 2 kids)

Validity Period:
From Aug-2023 to Jun-2024

Payment details:
MobilePay to: box02714
Bank details -> Reg.No: 2277, A/c No: 9031961316

Contact details:
Nanda 71487062
Prathistha: 71568265

DISA - Family Sports Club
Membership Type *
Membership paid? (MobilePay: box02714) *
Full Name(s) as per CPR and Date of Birth (DD.MM.YYYY) *
Mobile and WhatsApp *
Email *
Address *
Comments if any
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