Membership Form


AIMZ

MEMBERSHIP

HOW AIMZ STARTED

REGISTERING NAVJOTES

AVEDAN NEWSLETTER

MEMBER PROFILES

ARTICLES

AIMZ GIFTS

CONTACT US

HOME

Please fill the form to register yourself as a Member of AIMZ.

Membership Type Annual Fee Select Type
Life Membership (Inter-Married Zoroastrain - Male/Female) 2,000/-
Couple Associate Life Membership (Zoroastrian or Non Zoroastrian) 1000/-
Single Associate Life membership / Non - Zoroastrian Spouse 500/-
 
Name Surname First Name Maiden Name
Date & Place of Birth dd/mm/yyyy City/Country
/ /
Occupation / Profession  
Spouse First Name Maiden Name  
 
Date & Place of Birth dd/mm/yyyy City/Country
/ /
Date & Place of Marriage dd/mm/yyyy City/Country
/ /
Marriage Solemnized under Special Marriage Act Civil Marriage  
Any other, please Specify
The above information given by me is correct to the best of my knowledge and I / We agree with the aims and objects of A.I.M.Z. and wish to enroll as a Member / Associate Member.
Date

Contact / Mailing Address
Address
Telephone (R)
Telephone (O)
Mobile
E-mail
Fax

 

Association of Inter-Married Zoroastrians
C/O - Mrs. Meher P. Amersey
Laburnum House, Laburnum Road,
Gamdevi, Mumbai 400007 India.