Membership

Member Registration

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FirstName	LastName	Age	Relationship

Membership

Family Yearly Membership ( $ 25 )

Individual Yearly Membership ( $ 15 )

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If you need assistance filling the information or have questions please email ourmcia@gmail.com or call one of the following MCIA membership representatives :

Uday Paranjape : 309.660.2731

Venkt Julakanti : 630.886.1020

Satish Gurrala : 309.831.9760

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CONTACT US

Srinivas Mikkilineni, President McLean County India Association PO Box 375 Bloomington IL 61702-0375

Email : OurMCIA@gmail.com
Phone : 309.825.1159

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