KOAC - Kashmiri Overseas Association of Canada

KOAC

Member Registration Form

Select KOAC Membership Type: *

First Name & Last Name: *

New Immigrants " Date of Arrival", Others N/A

Specify Profession (Optional):

Street: *

Province : *

City: *

Postal Code: *

Mobile Phone and/or Home Phone *

Email Id : *

Spouse's First & Last Name:

Spouse's (Maiden)Last Name:

Spouse Email Id :

Member Child(ren) First Name(s) +18:

Payment through: * Select Payment through

Amount: *

Comments

All Amounts are in CAD.