1)Please complete the Membership Form

2) Submit the printed & completed application to address given below.

3) Membership fee is :

                   (i) For Life time Membership - $750

                   (ii) For Annual Membership - $100

                   (iii) For Student/Resident - Free

4) Mail a check payable to IMALA at

                  Dr RAJ PRASAD
                  9808 Suite #707 Venice Blvd.
                  Culver city
                  California - 90232
 
                  Ph -  310 237 0023
                  Fax - 310 237 0026