Membership Renewal Form – Gowda Saraswath Sabha (UK)

Main Applicant Name *

Email *

Phone Number

Address Line 1

Address Line 2

City

County

Postcode

Country

Partner's Email

Number of family members (including main applicant)

Name 1 *

Birth Date 1 (minors only)

Name 2 *

Birth Date 2 (minors only)

Name 3 *

Birth Date 3 (minors only)

Name 4 *

Birth Date 4 (minors only)

Name 5 *

Birth Date 5 (minors only)

Membership Type - Renewal *Annual (£20 per year, per family) *Lifetime (£200 per family)* For annual members, our membership years runs from April to March

Amount

Credit / Debit Card *

Card details are sent directly to Stripe during payment. GSS does not receive or store any card details