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You have selected the General Membership ($100 Per Year) membership level.

The price for membership is $100.00 now.

Membership expires after 1 Year.

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Jeevan Vigyan USA Organization Member Registration Form

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Profession

Highest level Of Education

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Interested in Volunteering

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May Be

Completed Courses of Jeevan Vigyan (if any)

In what area you want to volunteer as Jeevan Vigyan member? (please check the boxes that applies to you)

How did you hear about Jeevan Vigyan in the beginning?

Is any of your family members/ relatives/friend involved in Jeevan Vigyan ?

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Full Name of family member/relative/friend(if any) and phone number

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Address 1

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