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Friday 21st of June 2013

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Membership Form
  1. First Name (*):
    Please type your first name.
  2. Last Name (*):
    Please type your last name.
  3. Address (*):
    Please provide us with your mailing address.
  4. Address Line 2:
    Please provide us with your mailing address.
  5. Suburb (*):
    Please provide us with your suburb.
  6. Postal Code (*):
    Please provide us with your postal code .
  7. E-mail (*):
    Invalid email address.
  8. Mobile No.:
    Please provide us with your contact number.
  9. Phone:
    Please provide us with your contact number.
  10. No. of Family Members:
    Please tell us how many people will be coming to meet Amma.
  11. Occupation (*):
    Please provide us with your occupation.
  12. Type the characters shown (*):
    Type the characters shown (*):
    Please type the characters above the textbox.
  13.   

A membership fee of $30NZD per year is payable.

Make cheques payable to: 
Account Name: Mata Amritanandamayi Satsang Group Inc 
Bank: ASB Bank, New Lynn Branch

Details for bank Transfer: 
Account Name: Mata Amritanandamayi Satsang Group Inc
Bank: ASB Bank, New Lynn Branch
Account Number: 12-3034-0136727-02

 


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