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NATIONAL ASIAN INDIAN REPUBLICAN ASSOCIATION (NAIRA)
All NAIRA membership fees are due annually. Please complete this form and mail to:
NAIRA, PO Box 440637, Aurora, CO 80044-0637
OR contact Nosh Tarachand at (303) 343-1173 or Hitesh Patel at (720) 935-5366
OR go to NAIRA web site at
www.NAIRA.Org
for more information.
National Asian Indian Republican Association Membership application for year 2009, Denver Colorado.
Yes, I want to be a member and supporter of NAIRA:
Date:
Types of membership
(check one)
$25.00 Regular Membership
$45.00 Family (Spouse)
$101.00 Business
One time donation
Amount paid: $
By check
By Cash
I am interested in working with the following Committee or area (Check by area of your interest):
Membership
Immigration Issues
Fund Raising
Business Issues
Special Events
U.S./India Ties
Other:
Name:
*
Address:
*
State:
*
Zip Code:
*
Phone (W):
*
Phone (H):
Fax:
E-mail:
*
If anyone wants to pay for membership by Credit Card, use "
donate
" button.
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