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Nagar Association of Greater American Regions (NAGAR)
Bringing Nagars across the world together since 1998

(Incorporated since 1998, Illinois, USA)
(Non Profit-Section 501(c)3; Public Charity-Section 509(a)2; Deductible Contributions-Section 170 of IRS Code)
 
 

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Membership form
[Alternately use this form (in Word format) and email it to us]

World Nagar Convention - July 2008
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Points to ponder/Opinion Poll new

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The Nagar Community Corner

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Previous directories

Cover of 1994-95 directory
Cover of 1994-95 directory		 Cover of 1997 directory
Cover of 1997 directory		 Cover of 2000 directory
Cover of 2000 directory		 Cover of 2006-2007 directory
Cover of 2006-2007 directory

Registration form

Please use this form to provide us your details. (items marked with red are required items.
You will have the option of submitting details of your family members in the next step.
(At least one spouse has to be a Nagar)

You can also download this form (in Word format) and email it us. or print it out and mail it to the address on the form.

Please Note:

  • The information you provide will be used to create the NAGAR directory. Your address, phone number and email address will be included in the directory.

  • Please do not submit someone else's information without their consent. Also please ensure that they know that their details will be published in the member directory.

  • Use this form to submit the primary member's information. You will be able to submit details of other family members - spouse, children - after you submit this form.


Member's information
Title: Mr.   Mrs.   Ms.   Dr.  
First name:       <-- Enter only the primary member's information in this form. You will be able to submit details of other family members - spouse and children - after you submit this form.
Middle Initial:
Last name:
Suffix (Jr., Sr. I, II etc.)


Home street address:
City:
Country:
State/Region/Province:
Note: If you don't see your state/region/province in the above list, type it in the box below.
ZIP code:


Home Phone number:
Home Phone number 2:
Home Fax number:


Office Phone number:
Office Phone number 2:
Office Fax number:
Mobile number:
Alternate phone:


Email address:
Email address 2:
Email address 3:


Personal details
Profession:
Gender: M
F
Home Town:
Father's name:
Mother's name:
Marital status: Married Married Single Divorced Widowed Widower
Birthday (YYYYMMDD):
Anniversary (YYYYMMDD):


Membership Information:
(If you would like to become a member, please check an option below. After you click the 'Send details' button, you will be shown all the information that you have entered. Please confirm that all the details are correct. Print out that page and mail it with or an international Draft in US Dollars payable to NAGAR.)

Membership benefits:

  • A free copy of the annual directory
    The directory contains a comprehensive list of all Nagars in North America.

  • Free issues of the NAGAR newsletter
    The newsletter is the best way to keep up with the happenings with the various Nagar communities across North America.

  • Exclusive access to 'members-only' services on this web-site.

Annual Single (US $20):
Annual Family (US $30):
Annual Student (US $15):
Senior Citizen (US $15):
Lifetime (US $501):


By submitting this form I release permission to Nagar Association of Greater American Regions to publish the above information in a directory in any form. The Nagar Association of Greater American Regions ensures you that it will not sell any information or the database to any organization or business for any business purposes.
 
© NAGAR Inc. 2002-2008

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