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Please fill up all the columns. |
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| Please tick where applicable: |
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Please send your payment by a crossed DD in favour of Nada Centre for Music Therapy payable at Chennai, India |
If you choose to send your payment in the form of a cheque, please add Rs.100/- as collection charges and send the draft or the
cheque along with this form after signing the Declaration to Nada Centre for Music Therapy (Attention: Mrs. Sumathy Sundar)
at the above address. |
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| Membership Benefits |
| Life time members are eligible for concession of |
- 20% in all conference fees payable
- 20% discount in all the Centre’s publications.
- Free access to a proposed music therapy newsletter.
Please note: Organization membership form must be accompanied by a write up on the organization about its aims and
objectives. |
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DECLARATION |
We understand that all the activities proposed by the Centre are subject to the vailability of resources and
manpower. I/We will do our best to uphold the ideals, objectives and bye-laws of the Centre in the best possible manner. |
Signature of the Individual/ Contact person of the Organization
Name of the Individual/ Contact person of the Organization |
Name of the Organization
Place:
Date: |
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