TDF Canada Member Registration

If you are a student click here     TDF Canada Student Member (Elite Basara) Registration
Last Name
First Name
Middle Name
Profession
Phone No
E-mail
Spouse Last Name
First Name
Middle Name
Street
City
Province
Postal Code
Children First Name
Middle Name
Last Name
(If you want to delete children record select the check box & click on delete)
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Mandal
District
Membership Type
Grand Patron (Elite Kakatiya) $1000
 
Patron (Elite Yadagiri) $500
 
Life (Elite Charminar) $250
Monthly (Recurring) contributions $50
List Skills
Referred By
Would you like to serve as a TDF volunteer?
Yes
No
Online (Paypal)
Offline (Contact info@tdfcanada.org)

I hereby agree that I have no objection in furnishing the above information to Telangana Development Forum, Canada and I authorize Telangana Development Forum, Canada to process my membership application.