PATEL Savings Club
PATEL Members Only!
* Required
Full Name
*
Your answer
PATEL Membership ID Number
*
Your answer
Savings Hand
*
Choose
One Hand
Two Hands
Three Hands
Four Hands
Five Hands
Savings Club Hand Value (LD)
*
Choose
$2,000.00
$3000.00
$4,000.00
$5,000.00
$6,000.00
$7,000.00
$8,000.00
$9,000.00
$10,000.00
Other_______
None
Savings Club Hand Value (USD)
*
Choose
$10.00
$20.00
$30.00
$40.00
$50.00
$60.00
$70.00
$80.00
$90.00
$100.00
Other________
None
Email address
Your answer
Other Phone number
Your answer
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