Membership Form
Registration Date:
10-13-2024
Time:
01:56:15 PM
Personal Information
First Name:
Last Name:
Email:
Phone:
State:
Select State
Madhya Pradesh
City:
Select City
Indore
Bhopal
Gwalior
Ujjain
Sagar
Other
Address:
Employement Status:
Select
Student
Service
Retired
Self Employee
Other Information
Any special talents or skills you have that you feel would benefit our organization ?
Are You Over 18 ? :
Yes
No
Reason For Membership :
Past Experience If Any:
Intrested Areas :
Administration
Events
Fundraising
communication
Plazma Donation
Blood Donation
Food Bank
Internet/ Computer Work
Availability:
Monday
Tuesday
Wednesday
Thursday
Friday
Saturday
Sunday
All Days
Flexible
AnyTime
Evening
Weekends
Time Available:
From
1:00
2:00
3:00
4:00
5:00
6:00
7:00
8:00
9:00
10:00
11:00
12:00
AM
PM
To
1:00
2:00
3:00
4:00
5:00
6:00
7:00
8:00
9:00
10:00
11:00
12:00
AM
PM
Declaration As a Membership
As a Membership , I agree to abide by the policies and procedures. I understand that I will be Member at my own risk and that the organization its employees and affiliates, can not assume any responsibilities for any liabillity for any accident, injury or health problems which may arise from any Membership work . I agree that all the work I do is on a Membership basis.
Head Office:
20 Press Complex,Behind Garden A.B.Road Indore, Mobile: 9826910161