Membership

List if NOT seperate member
Age required only for son(s) and daughter(s). Please enter age for anyone 18 years old or under.

Family Member 1

Family Member 2

Family Member 3

Family Member 4

Family Member 5

Family Member 6

Family Member 7

Family Member 8

Family Member 9

Family Member 10

By accepting, submit and becoming a member of the Bangladesh Puja Committee of Northern California, you are declaring that you would abide by therules and regulations of Bangladesh Puja Committee of Northern California.