Lifetime Membership APPLICATION

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

Membership Information

Life membership type*

Are you a USA citizen?*

Membership qualification*

Introducer

Person who introduced you to the Bangladesh Society.

Upload Photo

Personal Information

First name*

Middle Name Initials

Last name*

Year of birth*

Gender*

District

Phone*

Format: 10 digits (e.g. 5551234567)

Email*

Address*

City*

State*

Zip Code*

Enter a 5-digit zip code

Terms of Agreement

I, the undersigned, hereby apply to become a lifelong 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 life 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 send me information related to Bangladesh Society activities. The Bangladesh Society will not sell or use my information for any commercial purpose.

I solemnly declare that the information provided in this application form is completely accurate and true.

Payment Details

Payment method*

Zella or Quick PayCredit Card

Securely processed by Bangladesh Society System