Membership Form
Become a member of the Mushroom Society of India.
Mushroom Society of India
Headquarters: Directorate of Mushroom Research, Chambaghat, Solan (H.P.) – 173213. Tel. +91-1792-230451 / 230541 / 230767, Fax: +91-1792-231207
Application for New Membership
- 1.Name (in block letters)
- 2.Full postal address
- 3.Telephone No. (O) / (R)
- 4.Email address
- 5.Fax
- 6.Mobile
- 7.Profession
- 8.Date of Birth
- 9.Educational Qualification
- 10.Nationality
- 11.Permanent (Residential) Address
I request that I may be registered as an Annual / Life / Patron Member of the Mushroom Society of India. I am remitting the applicable membership fee by Demand Draft in favour of “Treasurer, Mushroom Society of India”, payable at Solan.
Date: _______________
Signature of Applicant
For current fees, see Subscription & Fees. Completed forms should be sent to the address above.