Sri Sathya Sai Baba Center of Cooksville - Membership Form | Sri Sathya Sai International Organisation, SSSIO Canada, Zone 1, Region 13

Sri Sathya Sai Baba Center of Cooksville – Membership Form

Primary Contact #1 First Name:

Primary Contact #1 Last Name:

Primary Contact #1 Email Address:

Primary Contact #2: First Name

Primary Contact #2: Last Name

Primary Contact #2 Email Address:

Young Adult 18 Plus Name(s): (Please use the free form field below to enter the names of multiple young adults, if you don't have any young adults please enter N/A)

Young Adult 18 Plus Email Address: (Please use the free form field below to enter email address of young adult(s), if you don't have any young adults please enter N/A)

Enter Names of Children Under 18 (if you don't have any children under 18 please enter N/A)

Enter Names of Seniors and their email address (if there are no seniors please enter N/A)

Mailing Street Address (For Tax Receipt Purposes)

City

Province

Postal Code

Consent for Sri Sathya Sai Baba Center of Cooksville:

Consent For SSIO International and SSIO Canada:

SSSIO CANADA

Sri Sathya Sai International Organisation

Sri Sathya Sai Baba Center of Cooksville – Membership Form