India Cultural Society, Greater Lansing, Michigan

ICS Greater Lansing: Bringing the Indian community together

India Cultural Society Membership Form Annual membership is from July 1, 2006 to June 30, 2007

Last Name
First Name
Spouse’s Name
Address
City, State, Zip
Phone
Fax
EMail
Membership		Annual Single ($15)
		Life Single ($150)
		Annual Student * ($10)
		Annual Family ($25)
		Life Family ($250)
		Organization ($150)
		Annual Senior Citizen ** ($10)
		Life Senior Citizen** ($150)
Other Members in the Immediate Family (Family Membership)		1. 2. 3. 4. 5. 6.

For full-time students only, with non-voting rights * Age 65 and above Please make check payable to ICS and mail to ICS, P.O. Box 90, Okemos, MI 48805-0090