Membership – Somerset Bengali Association

Name*

First

Last

E-mail*

Phone:*

Area Code

-

Phone Number

Address*

Street Address Street Address Line 2 City State / Province / Region Postal / Zip Code Country

Benefits

Become a part of SBA family
Active participation in all annual events like Saraswati Pujo, Poila Baisakh, Picnic and Diwali
Entitled to early registration and discounts in all the above events
Listing in electronic SBA friend finder directory

Select Membership Type:*

Spouse Name: If Applicable

First

Last

Spouse E-mail

Spouse Phone:

Area Code

-

Phone Number

Children's and Parent's Name: [If Applicable]