Membership Fees:  US$ 15.00 (Family/Individual)

         

 

Name:___________________________________________

 

 

Address:_________________________________________

 

 

City:__________________  State:_______  Zip:_________

 

 

Check one:

Family Membership: _______ Individual membership:______

 

 

Signature:_________________________   Date:____________

 

 

Please MAIL the completed Membership Application Form along with the check (payable to BARMUSA) To:

 

Mr. Sushital Chowdhury, Treasurer

1919  17 ½  Street  NW

Rochester, MN 55901