Gujarati Samaj of Detroit - 2025 Membership Form

Membership effective from January 1, 2025 to December 31, 2025


                             PayPal Link:  https://www.paypal.com/ncp/payment/9SMQH9CW7W65W



                                                  Or use this Form

MEMBERRSHIP RENEWAL

LIFE MEMBERSHIP – UPDATE INFO

 Renew my membership based on last year’s profile.   Please complete Sections 1 & 3 below. I am a Life Member; please change/update my information.    Please complete Sections 2 & 3 below.                  


Member Email Address: ­­­­­­­­­­­­_____________________________________________








SECTION 1:  MEMBERSHIP CATEGORIES & FEES








Family MembershipHusband, wife, unmarried children under 25 years of age, and parents living in the same household. Due Date for Renewal is May 31, 2024.Please note:Membership renewal fee will be $50 after May 31, 2025.$50 One year$150 Three year



Single MembershipSingle as defined by IRS (Only one person is allowed) $25






Senior MembershipOne spouse is 62 years of age or above (Only two person are allowed) $25






Life MembershipLifetime affiliation with Samaj $751






Corporate MembershipCorporate Membership $101






SECTION 2:  MEMBERSHIP INFORMATION

Member’s Full Name:        Age:        yrs

Spouse’s Name:        Age:        yrs

Child Name:        M / FGrade:        Age:        yrs
Child Name:        M / FGrade:        Age:        yrs
Child Name:        M / FGrade:        Age:        yrs
Child Name:        M / FGrade:        Age:        yrs
Father’s Name:        Age:        yrs

Mother’s Name:        Age:        yrs

Street Address:         


City:         State:    MIZip:         
Telephone (required):             Email 1:    Email 2:    
Gujarati Samaj, Inc. will maintain address and e-mail information with strict confidence and will not use / give it to others for solicitation.


SECTION 3:  ACKNOWLEDGEMENT & AUTHORIZATION

I,                 undersigned understand that this membership application will be reviewed by Secretary of Gujarati Samaj, Inc. I also understand that the membership fees are non-refundable. The above information is true and correct to the best of my knowledge. I understand that any misrepresentation or falsification will result in the cancellation of my membership and I will be responsible for non-member fees if the membership was used during any of Samaj’s events, such as Holi, Navratri, Diwali and other events. By providing the contact information above, I understand that GSOD may communicate with me via phone, e-mail or USPS.


SIGNATURE: ______________________________________


DATE:   ___________

 
Please Make Check Payable to: Gujarati Samaj, Inc.
Form & Check Mailing Address: G.S.O.D., C/o Satish Shah 43284 Westphalia Ct, Sterling Heights MI 48314
Questions? Please send an e-mail to  Secretary@GSOD.org

FOR GSOD OFFICIAL USE ONLY:

Payment for 2025 Gujarati Samaj, Inc. Membership received:                                               Secretary:











Date Form Received:Check Amount: $Check Date:Check #:





















Membership

form also available on www.GSOD.org

Scholarship forms

https://www.gsod.org/scholarship-form

GSOD Membership

Lifetime Membership: Lifetime affiliation with Samaj

Family Membership: Husband, wife, unmarried children under 25 years of age, and parents living in the same household

Single Membership: Single as defined by IRS

Senior Membership: One spouse is 62 years of age or above

GSOD Sponsorship

Gold: 4 Tickets – Holi, Navratri, and Diwali Program (Each event)

Diamond: Provide 1 Table during the event (if required)

Silver: For events E-Blast, we will put Silver sponsors name at bottom of the email

Diamond: Include Full Color Page Ad for Samaj Darshan

Platinum: 10 Tickets – Holi, Navratri, and Diwali (VIP Seats) Program (Each event)

Recent News

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Date : 2023-08-28

SHRI RAM KATHA 2023

Date : 2023-06-03

Covid Vacination clinic

Date : 2021-04-11

GSOD Events

Date : 2019-03-08