Rajputana Rawla of America

Rajputana Rawla of America

Membership Form

The data you enter on this page is not saved in any manner. It is advisable that you fill this form on a laptop/desktop computer and print (or save to PDF).

Instructions:

  1. Carefully fill out all the required fields in the form.
  2. Print the page and sign/date at the bottom.
  3. Attach a check payable to “Rajputana Rawla of America”.
    • $351 USD for life-time membership
    • $101 USD for annual membership
  4. Mail the form and check to RRA executive:
    Rajputana Rawla of America
    7048 San Fernando Dr.
    Fort Worth, TX 76131

For any questions or concerns, please send an email to rajputanarawla@gmail.com.

Section A: Applicant information

Section B: Applicant's spouse

Section C: Applicant's children

Child #1

Child #2

Child #3

Section D: References

List at least two other Rajputs (must be Rawla members) who have known you and your family:

Reference #1

Reference #2

Section E: General

Declaration & Disclaimer

I hereby solemnly declare that I am fully aware of the aims and objectives of RRA (Rajputana Rawla of America) and in complete agreement with them. I will always work towards furthering the cause of our Rajput culture, will cause no harm to the aims and objectives of RRA. I have no objection to any additional verification that RRA may pursue to authenticate my application. I am aware that my membership is pending approval and acceptance by RRA Executive Committee. I understand that RRA reserves the right to refuse membership to anyone without any obligation for providing reasons for such non-acceptance. I agree to have my address, phone number, email, information about children, and family bio-data published in the RRA Membership List, I further understand that having my name and related information published in the RRA Directory neither makes me a RRA member automatically nor does it entitle me to benefits and privileges accorded to the RRA members; that I agree not to hold RRA liable for any actions, events, happenings resulting from my becoming a RRA member; that all annual memberships expire on December 31st of each year; that all membership fees are non-refundable; that knowingly providing false information on the application may subject me to expulsion from RRA at a later date, even after my application may have been approved for RRA membership.

In true faith and with utmost sincerity, I hereby apply for membership to Rajputana Rawla of America.

Date
(To be filled after printing)
Signature of applicant
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