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KALA COAST MEMBERSHIP FORM
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* Indicates required question
NAME:
*
Your answer
Gender:
*
Male
Female
Other:
Contact Number: (Format: Country code- Area code - contact number)
*
Your answer
Date of Birth:
*
MM
/
DD
/
YYYY
Email Id:
*
Your answer
Address:
*
Your answer
PAN/Adhaar/Social Security No:
*
Your answer
Occupation:
*
Your answer
If Musician or Artist please specify Art form/Genre/Instrument
*
Your answer
Interested in:
*
Events
Learning
Volunteering
Required
Kindly email a passport size photo and copy of your ID proof to
membership@kalacoast.com
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