Individual (OAP) - Milton Keynes Hindu Association

1-year-oap-65-and-over

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

Child 1 Name: Child 1 Name is not valid

Child 1 Last Name: Child 1 Last Name is not valid

Child 1 Birth Date: Child 1 Birth Date is not valid

Child 2 Name: Child 2 Name is not valid

Child 2 Last Name: Child 2 Last Name is not valid

Child 2 Birth Date: Child 2 Birth Date is not valid

Child 3 Name: Child 3 Name is not valid

Child 3 Last Name: Child 3 Last Name is not valid

Child 3 Birth Date: Child 3 Birth Date is not valid

Child 4 Name : Child 4 Name is not valid

Child 4 Last Name: Child 4 Last Name is not valid

Child 4 Birth Date: Child 4 Birth Date is not valid

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

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Pay Milton Keynes Hindu Association

10 payments of £7 / Year

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Terms: 10 payments of £7 / Year

	Individual (OAP) – Initial Payment 10 payments of £7 / Year	£7.00
	Total	£7.00

Individual (OAP) – Initial Payment

10 payments of £7 / Year

£7.00

Total

£7.00