INDIAN AMERICAN CULTURAL CENTER OF NWIHRC
8605 Merrillville Road • Merrillville, Indiana 46410 • (219) 756-1111
•
MEMBERSHIP FORM
Categories of Membership
Trustee Membership - Donations of $13,500 or more or $375 per month checkomatic
Donations of a cumulative sum of $13,500.00 or more or over a period of 5 years with $3,500 payable initially and $2,500 payable every year (by June 1) in subsequent 4 years.
Patron Membership - Donations of $6,000 or more or $170 per month checkomatic
Donations of a cumulative sum of $ 6000.00 or more or over a period of 5 years with $ 2000 payable initially and $1000 payable every year (by June 1) in subsequent 4 years.
Life Membership - Donations of $1,250 or more or $35 per month checkomatic
Donations of a cumulative sum of $ 1250 or more or over a period of 4 years with $ 365 payable every year.
Annual Membership - Donations of $100 per year – Annual Membership
The annual membership is for the calendar year.
======
Upgrade the membership:
INDIAN AMERICAN CULTURAL CENTER OF NWIHRC
8605 Merrillville Road • Merrillville, Indiana 46410 • (219) 756-1111
•
I am a:
I would like to upgrade my membership to:
INDIAN AMERICAN CULTURAL CENTER OF NWIHRC
8605 Merrillville Road • Merrillville, Indiana 46410 • (219) 756-1111
•
Trustee
Patron
Life Member
Annual Member
Donor
Trustee
Patron
Life Member
INDIAN AMERICAN CULTURAL CENTER OF NWIHRC
8605 Merrillville Road • Merrillville, Indiana 46410 • (219) 756-1111
•
======
Membership Benefits
- A member above 18 yrs will have voting rights 60 days after the membership is granted.
- Can contest for any position in the organization with appropriate membership category.
- Members are charged less at every IACC event.
- Special rates for members for Hall rental.
Name______Date ______
Home Address______city______state_____Zip______
Cell Phone ______Home Phone ______Office Phone______
Spouse’s Name______Cellphone______
E-mail Address ______
======
I would like to donate the above amount in:
1 installment (1 Year) 2 installments (2 years) 3 Installments (3 years) other
Please attach this form with your generous check payable to: NWI Hindu Religious Center
Non Profit Tax ID #35-1981658and mail it to the above address.
======
Are you interested in setting up a monthly donation?
Yes, please make sure to fill out checkomatic form below
NO
MEMBERSHIP CHECKOMATIC AGREEMENT
I (we) herby authorize NWI Hindu Religious Center to initiate debit entries from my (our) checking account/savings account indicated below and the BANK named below, hereinafter called Depository, to debit same to such account.
Depository Name: ______
Bank Name ______City ______St ____ Zip______
Routing Number ______Account Number ______
Account Type: Checking Savings Loan
This authority is to remain in full force and effect until NWIHRC and depository has received written authorization from the undersigned to terminate these transactions.
Name ______Amount $ ______
Signature ______Date: ______