Registration Title (Mr, Mrs, Ms ) First Name * SurName * Email Address * Residential Address * Contact Number * Type Of Membership * Individual Life Membership($100) Individual Annual Membership($50) Student ( Above 18) Annual Membership($30) I wish to become a member of Canberra Malayalees Association(CMA). I agree to subscribe to the objectives of CMA and to be bound by its Constitution. Signed( Full Name) and Dated , eg. Joby George, 20-Sep -2022 * Please pay the membership amount to the below account and sent the Receipt to the email coordinators@canberramalayalee.org and request confirmation in receipt from secretary to confirm Membership. Acknowledge with "YES" Account Name : Canberra Malayalees AssociationPay id : 34 404 277 074Description : <Full Name>CMA Membership User Password * Confirm Password * Submit
