Individual Membership Enrollment Form

Member *

Annual
Life

Name *

Occupation

Email *

Mode of Payment *

I will deposit the amount in ATA's Kotak Mahindra Bank
I will send Cheque/DD to ATA

Enter the amount *

To remit fees through NEFT : Kindly mention the system generated reference number of the Membership Form in the box meant for "Message for the Reciever" as per details: KOTAK MAHINDRA BANK, 55 WEST AVENUE ROAD PUNJABI BAGH WEST, NEW DELHI - 110026 Beneficiary Name: Air Travellers Association SB a/c no 610010090300 RTGS/NEFT Code - KKB0004615

Enter the Cheque/DD No. *

To send DD/Cheque : Kindly mention the system generated refrence number of the Membership Form on the rverse of the DD/Cheque payable to Air Travellers Association and mail to: Air Travellers Association, Post Box No 6804, Punjabi Bagh, New Delhi- 110026.

Declaration *

I have read and shall abide by the Regulations of the Society at all times. The above submitted information is true to the best of my knowledge and belief. The decision of the Governing Body towards my membership shall be final and binding.