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  • KAPBmembershipform 2012

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    binoy2008
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    This document is an application form for membership in the Kerala Association of Palm Beach Inc. for the year 2012. It requests the applicant's name, spouse name, address, phone numbers, email, signature and date. It lists the annual membership fees as $30 for a family or $15 for a single member and notes that payment should be by check to the Kerala Association of Palm Beach Inc. The bottom portion is a receipt that would be returned to acknowledge receipt of payment for membership.

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    KAPBmembershipform2012

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    This document is an application form for membership in the Kerala Association of Palm Beach Inc. for the year 2012. It requests the applicant's name, spouse name, address, phone numbers, email, signature and date. It lists the annual membership fees as $30 for a family or $15 for a single member and notes that payment should be by check to the Kerala Association of Palm Beach Inc. The bottom portion is a receipt that would be returned to acknowledge receipt of payment for membership.

    Copyright:

    Attribution Non-Commercial (BY-NC)
    Download as PDF, TXT or read online from Scribd
    Flag for inappropriate content
    Download as pdf or txt
    252 views1 page

    KAPBmembershipform 2012

    Uploaded by

    binoy2008
    This document is an application form for membership in the Kerala Association of Palm Beach Inc. for the year 2012. It requests the applicant's name, spouse name, address, phone numbers, email, signature and date. It lists the annual membership fees as $30 for a family or $15 for a single member and notes that payment should be by check to the Kerala Association of Palm Beach Inc. The bottom portion is a receipt that would be returned to acknowledge receipt of payment for membership.

    Copyright:

    Attribution Non-Commercial (BY-NC)
    Download as PDF, TXT or read online from Scribd
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    KERALA ASSOCIATION OF PALM BEACH INC.

    9337 SAVANNAH ESTATE DR. LAKE WORTH, FL 33467


    PHONE: 561-247-3031 E-MAIL: KERALAPB@GMAIL.COM
    APPLICATION FOR KAPB MEMBERSHIP 2012
    NAME: MR./MRS./MISS: ..
    SPOUSE NAME:

    ADDRESS:
    ....................
    PHONE :( RES): MOBILE: .
    E-MAIL: ..
    SIGNATURE OF APPLICANT: DATE././2012
    ANNUAL MEMBERSHIP FEE
    FAMILY:

    $30.00

    SINGLE:

    $15.00

    NB: PLEASE MAKE CHECK PAYABLE TO KERALA ASSOCIATION OF PALM BEACH INC.

    KERALA ASSOCIAION OF PALM BEACH INC.


    Received with thanks from Mr./Mrs./Miss ...
    $30 / $15 towards MEMBERSHIP fee for the Year 2012 of KERALA ASSOCIATION OF
    PALM BEACH INC.
    Cash/Check No: .Signed by ..
    TREASURER

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