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Membership Form

       
01.   Name
       
02.   Maiden Name (if applicable)
       
03.   Address
       
04.   Telephone Number
       
05.   E-mail
       
06.   Year of Graduation(Last year at School)
       
07.   Names of two teachers while you were at Mahamaya Girl’s College Kandy:
     
       
08.   Member Catergory:
    Member (Annual membership fee $25)
    Student /Student's wife (Annual membership fee $15)
    If you are a student:  
     Name of the School and the undergraduate/graduate program you are in
     
       
09.   Preference regarding your contact information:
   

I would prefer to have only my name on the alumnae list on the website.
   

I would prefer to have my name and email address on the alumnae list on the website.
   

I would prefer to have my name, address, email address on the alumnae list on the website.
   

I would prefer NOT to have my contact information on the website.
       
10.   Payment Method:  
   

Using my pay Pal Account
   

Using a Credit Card
   

Personal check
       
   

   

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