Garjana Membership Form

Garjana MEMBERSHIP FORM

Garjana Dhol Tasha San Antonio is a registered non-profit organization. The main purpose of Garjana is to connect with like-minded people who have the passion of playing Indian musical instruments (i.e. Dhol Tasha). Enrolling in Garjana as a member allows an individual: To take part in official Garjana charity initiatives from time to time as a member participant. Allows member to join Garjana events as a performer or volunteer representing Garjana. To attend regular practice sessions and learn to play new musical instruments.
Name*

First NameLast Name
Address

Street Address

Street Address Line 2

CityState / Province

Postal / Zip CodeCountry
E-mail*
example@example.com
Cellular Number
Membership Type
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StudentStudent Membership is open to all students attending an accredited higher education institution. Student Membership is not allowed if the student or his/her spouse is working full-time
$25.00



Individual MembershipIndividual Membership
$25.00



Family For the purpose of membership, a family is two (2) adults and their children under the age of 18 living in same household.
$50.00



Lifetime MembershipGarjana offers lifetime membership for a contribution of $1000.
$1,000.00
Billing Adress

Use the address above.I want to specify a different billing address.
Billing Address

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Family Member 1 Name

First NameLast Name
Family Member 2 Name

First NameLast Name
Child 1 Name

First NameLast Name
Child 2 Name

First NameLast Name
I Acknowledge
Should be Empty:

Garjana MEMBERSHIP FORM