IAVA

INDIA ASSOCIATION OF VIRGINIA (Established 1961)
Information for India Directory

Annual Family Membership fee is $20.00 ($10 for Single) for the Calendar Year.

Name
Spouse Name	(First Name Only)
Address
	City Zip
Home Phone		Year Moved To Richmond
Cell Phone		Cell (Spouse)
Email		Email (Spouse)
Occupation		Employer
Occupation (Spouse)		Employer (Spouse)
Native Place in India	City State	Language
Spouse Place in India	City State	Language (Spouse)
Children: First Name & Year of Birth		First Name & Year of Birth
1.		2.
3.		4.