Thank you for showing interest towards becoming a member of Utah Telugu Association (UTA). We are excited to welcome you to our community and look forward to your active participation

Utah Telugu Association (UTA) is a registered non-profit organization under section 501(c)(3) of the Internal Revenue Code. Contributions made to our organization are tax-deductible to the extent allowed by law.

By completing this form, you initiate a journey of collaboration and shared purpose. We request key information about you/your family, including contact details. This registration opens doors to a network of support, funding opportunities, and collaborative projects, fostering a stronger community of change makers. Membership prices are ONLY for 2024.

First Name *

Last Name *

Email Id *

Mobile Phone *

Password *

Confirm Password *

State *

Select State Washington Alabama Alaska Arizona Arkansas California Colorado Connecticut Delaware Florida Georgia Hawaii Idaho Illinois Indiana Iowa Kansas Kentucky Louisiana Maine Maryland Massachusetts Michigan Minnesota Mississippi Missouri Montana Nebraska Nevada New Hampshire New Jersey New Mexico New York North Carolina North Dakota Ohio Oklahoma Oregon Pennsylvania Rhode Island South Carolina South Dakota Tennessee Texas Utah Vermont Virginia Washington West Virginia Wisconsin Wyoming

City *

Address *

Address 2

Zipcode

Member Skils/Interests

Spouse First Name

Spouse Last Name

Spouse Email Id

Spouse Phone

Total Number of Family Members

1 2 3 4 5 6 7 8

Names of Family Members (Press enter to add next person's name)

Spouse Profession

Spouse Skils/Interests

Are you Interesting In? *

Chorepgrapher

Volunteering

Emcee

Other

Membership Type *

Life Time Family Membership ($150)

Annual Family Membership ($15)

Single/Student Life Time Membership ($80)

Single/Student Annual Membership ($8)

Children Information

Name of the children	Age	+ Add Child
Name	Age

+ Add Child

Payment Method *

Total Amount

$0

Payment details

Card *

Card Name *

Exp.Month *

Expiry Month January (01) February (02) March (03) April (04) May (05) June (06) July (07) August (08) September (09) October (10) November (11) December (12)

Exp.Year *

Expiry Year * 2025 2026 2027 2028 2029 2030 2031 2032 2033 2034 2035 2036 2037 2038 2039 2040 2041 2042 2043 2044 2045

Cvv*

we do not store any credit card Information and

Payments securely processed by:

Total Amount

$0

You will recieve a confirmation email once the payment is credited to Utah Telugu Association (UTA) account. Please follow-up with Utah Telugu Association (UTA) contact, if you did not recieve email with in seven days..

Upload the cheque image to Utah Telugu Association (UTA)

Upload cheque image here

Handed the cash/cheque to - Name of the UTA board

cheque

Total Amount

$0

You will recieve a confirmation email once the payment is credited to Utah Telugu Association (UTA) account. Please follow-up with Utah Telugu Association (UTA) contact, if you did not recieve email with in seven days..

Here are the Zelle details you should know for the transfer

Zelle Name: Utah Telugu Association (UTA);

Zelle Email Id: utahteluguassociation@gmail.com

Please enter the name on the bank account, Note and Reference used for the Zelle transaction here .

Upload zelle image here*

Total Amount

$0

Submit