2022-2023 Application for Full Membership – Family Please note that the Full level of Membership includes FREE ADMISSION to Prabasi (virtual / in-person) events – Durga Puja (2022), Saraswati Puja (2023), Kobi Jayanti (2023) and Picnic (2023) throughout the year. This membership also entitles to vote, provided the membership enrollment completed on or before 1st Nov 2022, be a member of executive committee, and attend any other member only events. Please contact email@example.com to learn more and refer Prabasi Constitution for details. 2022-2023 Annual Full Family Membership - $350.00 Member Information: Name * Email * Phone * Member Spouse Information: Spouse Name Spouse Email Spouse Phone Note: If spouse information is not provided, all email communications will only be sent to primary email address Number of Children: Under Age 6 ---12345 Between Age 7 and 12 ---12345 Between Age 13 and 18 ---12345 Children above 18 needs individual membership Address: Address Line 1 Address Line 2 City State Zip Code / Pin Interest in participation and volunteering: CulturalPuja ActivitiesDecorationsArts and CraftsAdministrative Terms and Conditions: Constitution: As a member, you hereby agree to abide by the Prabasi Constitution. Privacy Notice: As a member, you are hereby granting permission to Prabasi Executive Committee and Board of Trustees to use your information for Prabasi related communications only. Your information will not be shared with any other individuals or organizations.