MemberShip Application Form - Canadian Kerala Cultural Association Of Alberta

Membership Application Form – 2026

Select New or RenewalNew membershipRenew membership

Name of Applicant *

Name of Spouse

Street Address

City

State/Province

Postal Code

Country

Phone Number *

Email Address *

How many children do you want to add

Name of Child – 1

Name of Child – 2

Name of Child – 3

Name of Child – 4

Name of Child – 5

Membership Option *Annual Individual Membership – $25Annual Family Membership (2 adults & children under 18) – $50Annual Student Membership (or dependent children under 25) – $5Lifetime Individual Membership – $250Lifetime Family Membership (2 adults & children under 18) – $500Please select type of membership

Total Membership Fee

$

Payment byCredit cardE-transfer

Fee Payment

If you select payment by e-transfer, click ‘Submit application’ and send payment to: accounts@albertamalayalee.ca

Your membership will be active as soon as we receive the fee.

Credit / Debit Card *