Please complete the following application form.  Please print the form and mail it with your check.     Back
D/FW Hindu Temple Society : Become a Member
Application for
Life Membership ($1000.00 donation in a Calendar Year)
Annual Membership ($100.00/year)
Renewal                     New
First name Middle initial
Last name
Street Address Apt #
City   State    Zip
Occupation
Email Address
Home Phone Work Phone
Fax Number Pager #      
Spouse Name
Dependent Children   1.     2.       

  3.     4.      

I profess that I am a Hindu who practices one of the religions originated in India and have read the membership requirements of the constitution of D/FW Hindu Temple Society.

Paying by Check:  Click the Print button on your browser to print the form, Sign the form, and mail with the check to Chairman, Membership Committee, D/FW Hindu Temple Society, P.O. box 154246, Irving, TX 75015-4246.

   Signature:  ________________________________  Date: 


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For Office use Only

    Verified by:  __________________________                  Date:   ______________

    Approved by:  _________________________  Membership ID:   ______________