Member Registration Form - HARYANA WHEELCHAIR CRICKET ASSOCIATION

Member'S

REGISTRATION FORM

Become a member of HWCA and support our mission to promote and develop wheelchair cricket in Haryana. As a member, you will have the opportunity to participate in our activities, attend exclusive events, and contribute to shaping the future of wheelchair cricket in the region. Your membership helps us strengthen our community and advocate for the rights and recognition of differently-abled athletes. Join us and become a part of a vibrant and inclusive community.

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Member's Name

Business/organization/individual

Name of Contact

First

Last

Contact's Email

Contact's Phone Number

Mailing Address

Address Line 1

Address Line 2

City

State / Province / Region

Postal Code

Country

Membership Details

The membership amount for a business/organization/individual for one year is ₹1,00,000.

Method of Payment

Bank Draft
Cheque
Bank Transfer

Cheques and Drafts to be made in favour of: HARYANA WHEELCHAIR CRICKET ASSOCIATION Faridabad, Haryana.

Reference Name (optional)

Please write in name of the person reffering you for this sponsorship.

Logo Upload

Click or drag a file to this area to upload.

If you're an event sponsor, please upload your logo here in either AI. PDF. or any type of vector file.