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  []  Membership

MEMBERSHIP APPLICATION

I wish to join IAVE (please indicate):

INDIA chapter membership

Dues : One Year Rs. 120/-
  Two Year Rs. 240/-

To be paid to INDIA chapter Office
Please make Draft/Postal Order in favour of People's Institute for Development and Training

International Membership
Individual Member

Dues : One Year US$30
  Two Year US$50

Organisational Member

Dues : One Year US$100
  Two Year US$180

Corporate Member

Dues : One Year US$1000
  Two Year US$1800

Name .......................................................................
Organisation ..............................................................
Position in Organisation.............................................
Address....................................................................
Telephone..................................... Fax..........................................
Volunteer Activities ........................................................................
......................................................................................................
Dues..............................................................................................
Signature.......................................... Date ....................................



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