TNCSC Membership Application Form
TNCSC is registered as a Non-Profit Ontario Corporation under no: 1242861 Print

 First Name: *  Last Name: *
 Place of birth (town/city): *  E-Mail: *
 Spouse Name:  Home Phone:*
 Biz. Phone:  Address:  Apt#:
 City:  Postal Code:
* - mandatory field
PERSONAL PROFILE (optional): for Career networking and helping community
TALENTS:    Dance: Singing: Drama: Catering: Volunteer: Specify:
SIGNATURE

Applicant: _________________
 

Spouse: _________________

Date: ___ ____ ____ 
Membership Fee: $ 20.00 per calendar year (January 1 to December 31)

All fields in the application form are mandatory and require your response. Please fill in all details and sign the form before mailing it to us. Please review and ensure that the application is complete in all respects before mailing. We will not accept incomplete or unsigned applications.
NOTE: Membership in TNCSC is subject to approval by the TNCSC Board of Directors. If you are not admitted as a member the fee paid by you will be refunded in full.
Please make all cheques payable to:
TAMIL NADU CULTURAL SOCIETY OF CANADA
Mail the cheque along with this application to:
TNCSC, 19 Freeborn Crescent, Scarborough, ON M1P 3T9
For office use only:
Membership #:
Date:
Referred by: 
Is this a membership renewal?		 Amount of fee paid:
Renewal due on:
Printed On: