Membership Application Form

Poona Sangeetha Sabha (Regd.)
Registration no : E/445/Poona dated 14-08-1970

Address : 5/8, Five Star Apartments, Bund Garden Road, Pune – 411001.
Ph. No. : 9881711848
Email :  carnaticmusicpune@gmail.com / subrasun2@gmail.com
Website : https://poonasangeethasabha.com

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Full Name *
Mobile *
Email *
Date of birth *
MM
/
DD
/
YYYY
Income Tax PAN *
Postal Address *
Present Occupation *
Membership Type *
  • Patron - Rs.50,010/-
    (Can attend all events free of cost, along with 2 persons)
  • Life Member - Rs.7,510/-
    (Valid life-long, can attend most events free of cost, except high cost ones at discounted rates)
Payment Transaction ID / Reference No. *
Payment Transaction Date *
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