 ARYA SAMAJ OF
NEW JERSEY, INC.
113 Cottage Place, Ridgewood, New Jersey 07450
Registered Tax Exempt Non-Profit Religious Organization -
IRS ID 22-2537355
MEMBERSHIP FORM
Date_______________________________
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Application for: New Membership / Renewal of Annual
Membership; Year_________
Endorsed By: (Name)_______________________ Endorsee'
Membership Status : Life I Current___________
(For New Membership)
Membership Type: Life / Current / Associate / Honorary
_______________Accepted on:___/____/_________
Dues: $350 For Life; $35 Per Year for Current & Associate
Membership; Amount Paid: $________________
Please Make check payable to: ARYA SAMAJ OF NEW JERSEY,
INC.
Please mail your check with
completed membership form
to the attention
of
Chairperson; Membership, Temple & Fund Raising Committee,
Arya
Samaj of
New Jersey, Inc.
113 Cottage Place, Ridgewood, New Jersey 07450
Have you served on a Committee before? YES / NO; If YES,
in
what capacity? Would you like to serve
on a Committee? YES / NO;
Name of Committee:
PLEASE COMPLETE THIS FORM IN WORD AND EMAIL IT TO US AT:
rameshamita@gmail.com
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