Life Time membership Form

Life Membership Form !!

Advantages of becoming a Life Member:

Life Membership Fee: $250

Tax break: Membership Fee is eligible for Tax break as Hoysala is a 501(c) Not for Profit organization
Free Hoysala events: Attend Free Hoysala Programs for 1 program.
Discounts: For all Hoysala events.
Award and Recognition on Stage in next immediate program.
Metal Badge: Get a metal badge "Hoysala Kannada Sangha Patron" that you can wear to all the events and showcase how much you care for the Hoysala Kannada Sangha.
Birthday wishes: Get birthday wishes from Hoysala Kannada Sangha every year
Name & Family Picture on website: Name along with your Family picture and year of becoming the Life member will be displayed on the website.
Announcements of Life Time Member names in events: Names of Life time members will be announced in every program.
Discounts: At different business establishments - This is presently NOT available. Board is working on setting this up & is in progress.

Date Registed as Life Member

Full Name of Registered Member (1st Person)

Cell# of Member (1st Person) - DO NOT enter Year for your personal security

Email id of Member (1st Person)

Date of Birth of Member (1st Person) - DO NOT enter Year for your personal security

Marriage Anniversary Date

Spouse Name (If no Spouse, leave Blank)

Cell# of Spouse (If no Spouse, leave Blank)

Email id of Spouse (If no Spouse, leave Blank)

Date of Birth (of Spouse) (If no Spouse, leave Blank) - DO NOT enter Year for your personal security

Name of 1st Kid (If no kid, leave Blank)

Date of Birth (of 1st Kid) (If no kid, leave Blank) - DO NOT enter Year for your personal security

Name of 2nd Kid (If no 2nd kid, leave Blank)

Date of Birth (of 2nd Kid) (If no 2nd kid, leave Blank) - DO NOT enter Year for your personal security

Name of 3rd Kid (If no 3rd kid, leave Blank)

Date of Birth (of 3rd Kid) (If no 3rd kid, leave Blank) - DO NOT enter Year for your personal security

Address - Line 1

Address - Line 2

City

State

Zip Code

ಹೊಯ್ಸಳ ಕನ್ನಡ ಸಂಘ – ಡೆಲವೇರ್Hoysala Kannada Sangha of Delaware