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MEMBERSHIP APPLICATION FORM - INDIVIDUAL (General)
  Serial No.  294  
  *Name  
  *Address *City  
  *Country  
  *State   PIN Code  
   Telephone Area Code:   Number:  
   Fax Area Code:   Number:  
   Mobile No. *E mail  
  * Cheque/ DD Details
  *Payment Mode Cheque   DD    
  *Cheque/DD No. *Bank Name  
  *Branch Name *Dated  
 
 Fees   For Indian Applicants General Membership Rs. 200 (One-time fees)
For Foreign Applicants General Membership US $ 8 (One-time fees)
 Mode of Payment   By *Cheque / DD in favour of Contract Bridge Association
Your Login Details  
  *Create Username :    
  *Create Password :
  *Confirm Password :
 
 
Admission Procedure :
Fill the On-Line Application Form. Issue Cheque/DD in favour of 'Contract Bridge Association'. * Send Cheque/DD to address given hereunder: -

Mr. Sandeep Karmarkar
Hon. Treasurer
Contract Bridge Association
203, Greenfields
Sherly Rajan Road,
Bandra
Mumbai - 400 050
India
Phone No. - (91) - 9819652365

Mention the On-Line Application Form Number in a covering note or on back of the Cheque/DD.  Your Online Serial No. is ---- 294