Application Form for Associate Members

1. Name of the Organnisation
2. Address
  Representative
  Name
    Designation
  Information regarding Nature of activities /work
  Field of Interest in WRA
  Subscription a. Entrance Fee Fixed - Rs 1,500/-
b. Membership for a year - Rs. 5,000/

Enclosed herewith a Cheque No. for a sum of Rs.

on Bank drawn in favour of

Wool Research Association, Thane.