Membership - Kerala Association of Dallas

Membership Form

Membership Form-Main_Form 2026

KERALA ASSOCIATION OF DALLAS, INC

3821 Broadway Blvd, Garland TX 75043

Phone: 972 271 2222

Membership Application Online Form (2026)

Membership Status

Single-$20.00 | Family-$25.00

Applicant Information

Full Name

Spouse's First Name

Home Phone #

Mobile Phone#

Would you like to receive Calls/Text/SMS/Whatsapp/ updates for KAD Events? Carrier Rates may apply.

Yes

Would you be interested in volunteering for Kerala Association Events and Programs?

Yes

Home Town in Kerala

Mailing Address

Address Line 1

Address Line 2

City

State

Zip Code

Children's Information

Click the + for additional entries.

Please enter the names

Child's Name	Gender	Grade Level

Would you like to receive Kairali via email?

Yes

Membership Reference

Referers/Event Name

Payment Method

Please scan this QR code with your Bank App.
or
Send the payment to 972 271 2222.

Zelle Name if different from official name.

Please mail your check to 3821 Broadway Blvd, Garland TX 75043.

Check # if available.

E-Signature

Please sign below.

Signature

Sign Here

Date:

Membership Form

Membership Application Online Form (2026)

Applicant Information

Children's Information

Please mail your check to 3821 Broadway Blvd, Garland TX 75043.

E-Signature

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