Student Membership

MEMBERSHIP FORM
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--- CONTACT INFO ---

Name: *

Phone Number: *

Email id: *

Address:

City:

State / Province / Region:

Postal / Zip Code:

Thoughts on Membership Cost: *


--- ABOUT YOU ---

How long have you lived in Wisconsin?

How did you hear about Milana?

How long have you been a member of Milana?

What do you like about Milana?

What don't you like about Milana?

Other comments/suggestions:


--- EXTRA INFO ---

How many Kannada films do you watch per year?

Interests:

Event Performance: I am interested in participating in the following:



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