Family Plan form

Family Plan form

    I wish to become a member of the Bengali Association of Minnesota (BAM). I have read the BAM constitution
    and agree to abide by it. I hereby certify that I am 18 years or older and agree to share the information below
    with BAM for its internal use.

    Adult 1:

    1. Which membership are you considering*?
    Resident Member - Family (2 adults and kids <18 years)Non-resident Member - Family (2 adults and kids <18 years)
    2. First Name*: 3. Last Name*:
    4a. Email Address*:
    4b. Phone Number* :
    5. Street address*:
    6. City*: 7. State*: 8. Zip*:
    9. Organization / Employer:
    10. Interest in volunteering in BAM YesNo

    Adult 2:

    11. First name*: 12. Last name*:
    13. Is Adult 2 also Resident of Minnesota? (No voting right for nonresident of MN) YesNo

    14. Adult 2 Email address
    15. Organization:
    16. Member-2 interest in volunteering in BAM YesNo

    Child 1:

    17. First name: 18. Last name: 19. Year of birth (YYYY) :

    Child 2:

    20. First name: 21. Last name: 22. Year of birth (YYYY) :

    Child 3:

    23. First name: 24. Last name: 25. Year of birth (YYYY) :

    If you select "manual/offline" as payment option in next page, your membership will be activated upon receiving the check.
    Please send your check payable to "Bengali Association of Minnesota" at "18744 Twilight trail Eden prairie 55346".

    Please reach out to for any question or issue.