Individual (Life) - Milton Keynes Hindu Association

Life time Individual membership

Name:*

First Name Required Last Name Required

Address Line 1:* Address Line 1 is Required

Address Line 2: Address Line 2 is not valid

City:* City is Required

Country:* Country is Required

State/Province:* State/Province is Required

Zip/Postal Code:* Zip/Postal Code is Required

Birth Date:* Birth Date is Required

Phone:* Phone is Required

Mobile:* Mobile is Required

Notes: Notes is not valid

Email:* Invalid Email

Password:* Invalid Password

Password Confirmation:* Password Confirmation Doesn't Match

Password Strength Password must be "Medium" or stronger

Select Payment Method

Card Payment Bank / Cash

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Please make a payment toward the selected membership as per details below. Once the payment is confirmed, the membership team will get back to you send a confirmation email. IF you have any queries, please send an email to info@mkha.org Bank: Lloyds Bank PLC Account Name: Milton Keynes Hindu Association Account Number: 00118570 Sort Code: 30-15-53 Ref: Please add your name and 'membership query' Thanks MKHA Membership Team

I have read and agree to the Terms Of Service*

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Pay Milton Keynes Hindu Association

£251

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	Individual (Life) – Payment £251	£251.00
	Total	£251.00

Individual (Life) – Payment

£251

£251.00

Total

£251.00