INDIAN BONSAI ASSOCIATION

Membership Form

Name
Address
Mobile No
Email id
Membership Membership Amount For New Member Membership Amount For Old Members
Payment Details : Bank Name:
Amount:
Cash : Online : Cheque :
Payment Transfer Dated:
If Payment Transferred from other person's account give Name / Details :

** Pl send Cash Deposit Receipt OR Cheque Photocopy OR Online Transfer screen shot confirmation copy to Treasurer by WhatsApp or Email**

Bank Detail For Online Transfer
Name: Indian Bonsai Association
Name Of Bank: Bank Of Baroda, Hauz Khas, New Delhi 110016
ACCOUNT NO: 22750100013154
IFSC CODE BARB0VJHAUZ
MICR CODE 110012055

Treasurer: Jyoti Shankar, Mobile: +919818494699, Email: jyotishankariba@gmail.com **

For Official Use:
Association No Dated