Membership Registration Form

Kindly submit all relevant details as required. Registrant must be an adult whereas member can be minor or adult. If you require any assistance, please contact us.

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  Member Details

Membership Category * Choose a Category SILVERGOLD

Membership Type * Choose a Type Individual Family

Location * Choose a Location NALS KSIRS, Coimbatore, Tamil NaduNALS Ooty Boat HouseNALS Prozone Mall CBE

Member Name *	Date of Birth *	Gender *	Photo for ID Card *
		MaleFemale

  Add more participants

  Billing Details

Billing Name * (Billing name must be an adult)

Mobile No *

Email ID *

Send my ID card to this address *

Membership Fee : 0.00
(GST extra)

  I am over 18 years old
  I have read, understood and agree to the Terms of Membership Agreement

Submit

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