9455999917, 8299023901 anantfoundation.india@gmail.com

MEMBERSHIP FORM

ANANT FOUNDATION

D-281 –KURMANCHAL NAGAR INDIRA NAGAR LUCKNOW-226016

(Registered under societies Registration Act No. of 1860:Reg.No.2347)

Dear Sir/madam,

I wish to enroll myself as a member of the society. I am paying herewith

The membership fee Rs/$.______________by Cash /bank- Draft/Cheque/M.O in favor of “ANANT FOUNDATION” Payable at Lucknow.

S.NO Membership fee Foreign Member Indian Member

1. Life Member US$ 150/- Rs.1500/-

2. Yearly Member. US$ 50/- Rs.500/-

3. Ordinary (yearly) US$ 10/- Rs.100/-

Category of Membership *

Name (In Block Letters

Date of Birth*

Phone/Fax No. *

Educational Qualification/Institution*

Occupation/Present position *

Address

Street Address Street Address Line 2 City State / Province / Region Postal / Zip Code Country

ABOUT ANANT FOUNDATION

Anant Foundation society was established in year 2009 which is going to complete its 5 years of fruitful existence in 2014. Anant Foundation is a nonprofit making organization staunchly believes in social, Environmental and Economic empowerment to all stakeholders by confining them under one roof. It is an organization which works on the multiple beneficial schemes in order to support the community on a diversified pattern. The main motive of the organization is to promote a large number of sustainable livelihoods.

CONNECT WITH US

Phone No:- 9455999917, 8299023901
Email:- anantfoundation.india@gmail.com