Membership Package Renewal – USA Please enable JavaScript in your browser to complete this form.Name *FirstLastPhone *Please use the phone no which was used in previous year *Only USA and Canada Phone Number are allowedEmail *Please use the email which was used in previous yearCity *CitySelect State *AlabamaAlaskaArizonaArkansasNorth CaliforniaSouth CaliforniaColoradoConnecticutDelawareFloridaGeorgiaHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaOhioOklahomaOregonPennsylvaniaRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahVermontVirginiaWashingtonWest VirginiaWisconsinWyomingMembership status *Expiring in month/ExpiredNot SureIf not sure, please send email [email protected]If you are registering first time to system, please register link hereMembership No/Phone NumberPrevious membership no/Previously linked Phone no *Only USA and Canada Phone Number are allowedPayment ModePaypal(via Credit/Debit Card ,Bank Account)Check(Send to Shivalli Kutumba, 1911 Hartshorn Ave, Troy, Michigan , 48083)Zelle Transfer Zelle Email ID : [email protected] | check favoring “Shivalli Kutumba of North America”Membership Type and Fees10 Years Term – Grand Patron – $1,000.0010 Years Term – Patron – $500.0010 Years Term – Family – $225.00*10 Years Term – Single – $90.00*Annual – Student – $5.00*Annual – Single – $10.00Annual – Family – $25.00 * Single/Student – If you are married, please do not choose this optionMembership Type and Fees*10 Years Term – Grand Patron – $1,020.8010 Years Term – Patron – $510.6510 Years Term – Family – $230.10*10 Years Term – Single – $92.33*Annual – Student – $5.60*Annual – Single – $10.70Annual – Family – $26.02* PayPal fees extra * Single/Student – If you are married, please do not choose this option)Bank Name *Ex: ChasePostal service provider and posted dateEx : USPS/12th May 2022Zelle Transaction ID *Zelle Date of Transfer *Ex : 12th May 2022Captcha Quiz * = Misc NotesSubmit
