HMA Membership Application - Halton Malayalees Association

Membership in the Halton Malayalees Association is open to any person of 18 years or over, who is a resident of the Halton Region or the village of Waterdown.

After submitting the below form, kindly e-transfer the membership fee to haltonmalayalees@gmail.com

First Name

Last Name

SELECT MEMBERSHIP TYPE

Contact Number

Please enter the names of additional family members in the family

Street Address

CITY

PROVINCE

Zip Code

Email Address

Any Notes to Administrator

I confirm that I am 18 years or older, and I am a resident of Halton Region or the village of Waterdown.

I agree the Halton Malayalee Association's Privacy Policy

I agree the Halton Malayalee Association's Terms and Conditions

4 + 4 =

I agree the Halton Malayalee Association’s Privacy Policy and Membership Terms and Conditions.