Membership Information

Family (Last) Name     

First Name                        Middle Initial

   

Mailing Address (include city, state, and country)

Telephone Number(s)

Email address

Occupation

List Indian Languages/Mother Tongue 

Indicate if US/Dual/Indian Citizen 

Registered voters indicate County and Legislative/Congressional District

Membership Categories

Please read the following to determine what annual membership category you wish:

Individual: $25

Family :     $35