BTCC Member Registration – BHARATIYA TEMPLE AND CULTURAL CENTER

Member Registration

If you are a human and are seeing this field, please leave it blank.

Fields marked with an * are required

BTCC Membership/Donation Form.

Please fill up below form to become a member:

First Name *

Last Name *

Phone *

Email *

Address 1 *

Address 2

City *

Zip / Post Code *

Country *

MODE OF PAYMENT: *

Mode of payment is through Check only .

Please confirm the check number in the below box.

PLEASE CHECK YOUR SPAM/JUNK folder of your email to get the confirmation email on registration.

Take a print out and attach it with CHECK & Mail it to 3050 N. Cleveland Rd, Lexington, KY 40516

Check Number *