Sri Lanka Association of New York ~ Membership

Welcome to SLANY Membership

There are two ways to Join or Renew your membership

New Members -
1. Complete the online application form
  
  OR
2. Print and fill the application form below (Click on the PDF icon)
  
  (Adobe acrobat reader required)
Renew Membership (Existing members only)
1. Pay online via our secure payment gateway (Recomended)
  
  OR
2. Mail the payment with the appropriate fee to the following mailing address
Mailing Address:
Dr. Ranpali Fernando
80-23, 232 Street,
Queens Village, NY 11427

Membership fees:

Annual Individual Membership	$ 15.00
Annual Family Membership	$ 25.00
Family Life Membership	$ 150.00
(Family Members over 21 Years of age have to become Individual Members.)

ONLINE MEMBERSHIP APPLICATION

Last Name		*
First Name		*
Address:
Street		*
Apt No.
Street (Line 2)
City		*
State		*
Zip Code		*
Telephone (Primary)		*
Telephone (Secondary)
Fax
E-Mail		*
Preferred Method of Contact		Email Regular Mail
Name of Spouse
Name(s) of Child / Children (Optional)		Age
		Age
		Age
Date		* [Click Here for Calender]
Check Number
Amount		*
Introduced By
		* Required Fields