SANGAM.ORG
Ilankai Tamil Sangam, USA, Inc.
Association of Tamils of Sri Lanka in the USA

Sangam Membership Application

Family: $50 -- Single: $25 -- Student: $15
Life Membership: $1000

Name___________________________ Occupation__________________

Spouse__________________________ Occupation__________________

Address_____________________________________________________

City, State and Zip Code________________________________________

Phone number (___)________________Work (___)__________________

E-mail______________________________________________________

Children (name and date of birth)

1._____________________________ 3.___________________________

2._____________________________ 4.___________________________

Make checks payable to Ilankai Tamil Sangam, Inc. and mail to :

Treasurer
Ilankai Tamil Sangam
P.O. Box 46
Maryknoll, NY 10545

Comments and suggestions:

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