Become a GSKC member - Gujarati samaj of Kansas City

Gujarati Samaj Kansas City Membership Form

First name ^*

Last name ^*

Date of birth ^*

Gender ^*

Male Female

Spouse Name

Spouse Date of birth

Gender

Male Female

Phone Number ^*

Name of Family Member

Date of Birth

Gender

Male Female

Relationship

Country ^*

State or Region ^*

City ^*

Street Address ^*

Zip ^*

Email ^*

User Name ^*

Password ^*

Confirm Password ^*

Membership Fees ^*

Do you agree with our terms and conditions? ^*

Yes, I agree.

 I am undersigned understand that this membership application will be reviewed by the membership committee of Gujarati samaj of Kansas City for approval. I understand that ONLY after such an approval,the membership will be final. Above information is true and correct to the best of my knowledge. I understand that any misrepresentation or falsification will result in cancellation of the membership and I will be responsible for guest fees if the members was used during any of our programs such as Diwali Dinner, Navaratri Garba, Picnic and other events. Please Note: Annual Membership ends on 30th April of the membership year.

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