The Kidney Care Society - Membership Form

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Membership
F o r m 
www.thekidneycaresociety.org
(91) 974 865 6202
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Become a Member
The Kidney Care Society has been continuously
working for last 7 years to
spread awareness on Kidney Diseases, which are
becoming an epidemic
around the globe. Our motto is simple Good
Renal Health for All but the
task is huge! According to our data 1 among every
11 Indians suffer from
kidney diseases. Since its inception, the
organization has grown from
strength to strength. Hundreds of workshops have
been held, awareness
has spread among many and thousand of people have
been screened for
kidney disease, following our two pronged
approach of Prevention and
Early Detection.
Membership Criteria
1. Members
Annual Membership Charges are Rs1200/- per year
Apart from this amount we welcome all donations.
Expectations
Each member will be required to ful?l a target of
organising Kidney
Function Tests of at least 500 people per year
and organising at least
1 Awareness Camp annually.
Bene?ts
Quarterly Newsletter
1 Free Consultancy with Dr. Pratim Sengupta in a
Year
Invitation to Annual Program
A Certi?cation of His or Her Contribution
2. Lifetime Members
Lifetime Members would be expected to make a
one-time donation
of Rs 100,000/-
Apart from this amount we welcome all donations.
Expectations
Each member will be required to ful?l a target of
organising Kidney
Function Tests of at least 1000 people per year
and organising at least
1 Awareness Camp annually.
Bene?ts
Quarterly Newsletter
2 Free Consultancy with Dr. Pratim Sengupta in a
Year
Invitation to Annual Program Other Activities
Special Membership Kit
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Membership Form
Name
Address
Profession
Mobile No
E-mail
Age
Sex
How do you want to contribute to The Kidney Care
Society ?
Member Lifetime
Member
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