KhushDC.org - KhushDC Membership Form

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Afghanistan, Bangladesh, Bhutan, India, Iran, the Maldives, Myanmar (Burma), Nepal, Pakistan, Sri Lanka, Tibet

Welcome to KhushDC!

KhushDC Membership is open to any dues-paying individual who fully supports KhushDC's mission. By joining the organization, KhushDC Members agree to follow the KhushDC By-Laws and "Policies and Procedures."

KhushDC Membership Form ( indicates a required field)*
	For a printable .PDF version, please click here.

Name: *
Address:
City:		State:		ZIP Code:
Are you 21 years of age or older? Yes No

E-mail: *
Phone:		Alternate Phone:

Please describe why you would like to join KhushDC: *


How would you like KhushDC to contact you? (Please check all that may apply)
	E-mail Phone Mail		Preferred Contact?
Should KhushDC mail be sent in a sealed, blank envelope for privacy purposes?
		Yes No I do not want mail


Upon clicking "Submit," you will directed to a PayPal-linked button to pay Membership dues.