APPLICATION FOR
CHHANDAYAN CONCERT SERIES MEMBERSHIP
 
 

To
The Director,
Chhandayan Inc.
Main address: 51 Union Avenue, Nutley, NJ, 07110
Local address : 11112 Candle Light Lane, Potomac, MD, 20854

Dear Sir/Madam,

I, the undersigned, want to become a Patron member of Chhandayan Inc. for the 2006 concert series. I understand that as benefit of my membership I shall get free admission for two to all Chhandayan concerts to be presented in Maryland - Washington DC area during 2006. I shall enjoy a sitting preference (please help us to reserve your seat with advance notification) and shall be free either to use the tickets for myself or give it to my family or friends to attend the concerts. The date and time of the concerts will be intimated to me in advance.

I am enclosing a payment of $150.00 towards my membership.

Thank you,
 

Yours truly,
 
 

_________________________                                                                    _______________________
                 Signature                                                                                                            date
 

Name: Mr./Mrs./Ms._________________________________________________________________________

Address: __________________________________________________________________________________

_________________________________________________________________________________________

Phone:(Home)____________________________(Work)____________________________________________

Fax:___________________________ Email:_____________________________________
 

 
 
 
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