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Additional Supplementary Members Request Form

Principal Member:___________________________________ Date:__________________________________


Mship #:__________________________________________ Member Since: ___________________________

1.) New Supp. Member Name: _______________________________ Birthdate: ________________________


Spouse: (___)

Son: (___)

Daughter: (___)

Start Date: _______________________

2.) New Supp. Member Name: _______________________________ Birthdate: ________________________


Spouse: (___)

Son: (___)

Daughter: (___)

Start Date: _______________________

3.) New Supp. Member Name: _______________________________ Birthdate: ________________________


Spouse: (___)

Son: (___)

Daughter: (___)

Start Date: _______________________

4.) New Supp. Member Name: _______________________________ Birthdate: ________________________


Spouse: (___)

Son: (___)

Daughter: (___)

Start Date: _______________________

NOTE:
Children must be unmarried and son must be below 25 yrs old.
Supplementary Members monthly Subscription Charges:
Child under 21

Rs 500 per month

Child between 21 25

Rs 1,000 per month

__________________________
Principal Member Signature

_________________________
Receptionist

Approved and Signed by: _____________________________


GM/AGM

_________________________
CEO

25 H Gulberg II Lahore Ph# 042 5750675 Fax# 042 5755909

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