General Membership Application

Please fill out the form below to join the Bangladesh Society.
Fields marked with * are required.

Membership Information

Membership type*

Qualification*

Are you a USA citizen?*

Introducer

Person who introduced you to the Bangladesh Society.

Membership Duration*

Primary Applicant Information

First name*

Middle Initial

Last name*

Year of birth*

Year only. E.g. 1973

Gender*

District

Phone*

Auto Formated to: (XXX) XXX-XXXX

Email*

Address*

Apt*

City*

State*

Zip Code*

Enter a 5-digit zip code

Terms of Agreement

I, the applicant and the signer, hereby apply to become a General Member of the Bangladesh Society, in accordance with all rules, regulations, and constitutional conditions as outlined in the Society's Constitution.

I understand that the Bangladesh Society reserves the right to accept or reject my application Furthermore, I acknowledge that my General membership may be suspended or canceled at any time should I act in violation of the Bangladesh Society's Constitution.

I also understand that the information provided in this form will be kept by the Bangladesh Society and stored on its website, and may be printed in the form of a voter list, election machine, digital device, or book for use in various ways as required by the Society, but not for any commercial purpose. The phone number and email address provided in the application will be used to provide me with various information related to the Bangladesh Society. The Bangladesh Society will not sell or use my information for any commercial purpose.

I solemnly declare that all information provided in this application is true, accurate, and complete to the best of my knowledge. I also acknowledge, accept, and agree to all terms and conditions stated in this application.

Payment Details

Payment method

Zella or Quick PayCredit Card

Securely processed by Bangladesh Society System