Registration Form

If you have not filled out one of these forms (forms were given out at the Pilliyar Nombu meeting), I would appreciate if you would take a few minutes to fill one out, and it will be included with the other forms collected. The purpose of these forms is so that we have the details of all the Nagarathars in the U.K., and if you wish, we can pass the details onto the Nagarathar Sangam of North America (NSNA).
Name: ......................
Profession (optional):

Spouse: ....................
Profession (optional):

Address: ..................
Town/City: ...............
County: ....................
Postcode: .................

Phone number: .........
Email address: ..........

Names of Children: ...
Age: .........................

Temple: ....................

Native place in India:

Would you like to receive NANAL/News through email?

Would you like us to include the above information in the NSNA Web (Internet) Address Directory?

Would you like us to include the above information in the NSNA Web/Overseas Address Directory 1998?