New Membership Form Last Name of the Family Name of the Village in India Current Home Address, City, St Zip Number of people at the current address First Name | Birthday (List each member at the current address) List each name on a separate line: for example - John, 01/01/1960 (Date will help us to organize by age for future events).Your Cell Number Your Spouse's Cell Number Your Email Address Your Spouse's Email Address Additional Cell and Email Address Add the Cell number and Email address of other members of the family.PhoneSubmit