Update Membership

Existing Member’s Details Update Form

Residence Address

Cell Phone

CLiPS Membership # (this number is on CLiPS newsletters emailed to you when published)

First Name

Middle Name

Last Name

Spouse’s Name

Gham (Original Home Town in India)

Street Address

City

State/Province

ZIP / Postal Code

Country

Primary Cell

Email Address

Subhash Patel
Direct Contact

Address
P.O.Box 730034, San Jose 95173

Contact
Email: info@clipsbayarea.com
Phone: 831 247 0948