MKA Application

If you are interested in becoming a member of the Mississauga Kerala Association please fill in the form below. Active membership is only for people of Kerala origin living in the Greater Toronto area. You can also mail/email the relevant information and the required cheque. If you just want to be in our email list fill in the form or mail/email the relevant information.

Title:		"*" denotes must entries
Last Name:	*	*
First Name:	*	*
Spouse's Name:
Children/Seniors:		Sets of (name age) separated by comas.
Street:	*	*
Apt./Unit:
City:	*	*
Province:
Postal Code:	*	*
Telephone:	*	*
Email:	*	*
Membership Type:	Family ($10/yr) Single ($5/yr) Life ($100)	Cheque payable to Mississauga Kerala Association
	Note: For yearly membership the period is from January 1 to December 31.	P.O. Box 43232 Mavis Rd. P.O., Mississauga, On. L5B 4A7
		mka@MississaugaKeralaAssociation.com