Membership Form

Join the Jain Center of Southern California Sangh by becoming an annual, two-year or lifetime member.

This is the latest copy of the Membership form for becoming the life/2year members of the Jain Center of Southern California (JCSC). Please download this form, print it, fill it and bring it with your check or fill the bellow form.

Payment options can be made by credit card, PayPal or personal check. Once the application is received, it will be reviewed by the Executive Committee and processed.

*Required
Yes    No
Gender: *
Male    Female
Your Occupation:
Address1: *
Fax No:
Please give 2 references (Preferably Jain Center Life Members)

Reference 1:

Reference 2:

Last Name: *
Please add other members of your family.
Relation First Name Middle Name Last Name Age Gender Command
Add

 

Membership Information
Life Time Membership: $501
2 Year Membership: $101
Payment Type Information
Payment Type:*
Billing Information
  Same as Above
Country: *
Payment Information
Credit Card Type: *
Card ID (CVV2/CID) Number: *