MEMBERSHIP FORM
NATURE GROUP, INDIA INTERNATIONAL
CENTRE
NAME: Mr/Mrs/Ms ____________________________________________
IIC MEMBERSHIP NO: ____________________________________________
POSTAL ADDRESS:
_________________________________________________________________
_________________________________________________________________
_________________________________________________________________
PHONE NOS:
(Res.): ___________________________________________________________
(Off:): ___________________________________________________________
(Mobile): _________________________________________________________
E-mail: __________________________________________________________
Write a few words on how you would be able
to share in the activities of the
Nature group?
_________________________________________________________
After
filling in the details above, please mail this form to Nature Group,
IIC, c/o Deputy Editor, 40 Max Mueller Marg, Opp. Lodi Estate, New
Delhi 110 003. You can also copy the form to your Word document, fill it, and send it as
e-mail attachment to<[email protected]> or <[email protected]>