Page 6 - Vishwa January 2024

अंतर्राष्ट्रीय हिन्दी सहिहत
International Hindi Association
A 501(c)(3) Non-profit Organization ● 2129 Stratford Road, Murfreesboro, TN 37129, U.S.A. ● Founded in 1980 www.hindi.org
MEMBERSHIP FORM
Please fill out all questions on the form clearly, sign, and return it via email to: treasurer@hindi.org, or via mail to:
Treasurer, 5907 Majestic Pines Dr, Kingwood, TX 77345, USA. You may print the form, sign, and email a camera image.
Membership fee is nonrefundable. Associate Life members enjoy same benefits as regular Life members, except for voting rights. All members get: 1) Digital Vishwa magazine quarterly, and Samvad newsletter monthly. 2) Discounts on IHA products, services, and events. 3) Volunteer opportunities in US and India. 4) Early notifications.
Title:
First Name: Email ID:
Date: ____________________________ Last Name: ____________________________ Mobile Number: ____________________________
Street Address: City:
Postal Code: Spouse’s Name:
Membership:
□Mr. □Mrs. □Ms. □Dr. □Prof.
.__________________________________ __________________________________
____________________________________________________________________________ _________________________________ State: _______________________________
_________________________________ Country: _______________________________ (optional) ......................................................................................................
Select one □ Life Member $250 USD □ Associate Life Member $150 USD
□ Annual Member $35 USD □ Institutional Annual Member $75 USD Please make check payable to ‘International Hindi Association’ in USD and mail to above-mentioned address. Or Pay Online
Do you wish to receive paper copy of Vishwa magazine, please check here: ☐ There could be a (USD $15/year) printing & mailing charge in the future.
Specimen Signature:
Print or Insert photo of your Signature
Would you like to be a part of the Leadership Team and volunteer in your area of interest or expertise ?
(Check all that apply)
☐ Hindi Education ☐ Graphics, Video ☐ Organization
☐ Legal, Compliance ☐ Sales, Support
☐ Hindi/English Content Writing
☐ Information Technology, Website
☐ Social media, Digital Marketing
☐ Fundraising, Sponsorships
☐ Public/Government Relations
☐ Other (please specify): ___________________________________________
‘Vishwa’ welcomes original writings in Hindi from all quarters. Writings dealing with immigrant experiences are
especially welcome. For further information, or to submit your writings for consideration, please contact: The Editor, Mr. Ramesh Joshi, Phone USA +1 (330) 688-4927, India +91 94601 55700; Email: joshikavirai@gmail.com or editor@hindi.org
Should this information change in the future, please contact us to update. All your information is kept confidential. International Hindi Association is a non-political, non-religious, lingo-cultural organization. Jan 2024