124-126 Joralemon Street
Belleville, NJ 07109
President: Sushum Singhal 973-783-3323 Vice President: Mr. Tek Chand
Kumar 973-361-7680 Treasurer: Mr. Vivek Singhal 718-779-1207 Secretary: Mrs. Madhu Gupta 908-850-4077 Joint Secretary: Mr. Mohan Chauhan 973-759-1089 Members: Ms. Pritibha Sharma Mrs. Asha Sehgal Mr. Sanjay Nagpal Mr. Avinash Gupta Education Committee: Dr. Pratap Singhal Ms. Pritibha Sharma Mrs. Amit Nagpal Religious Advisors: Pandit Dharam Jit Jigyasu Tek Chand Kumar 1. MEMBERSHIP
INFORMATION DATE:________ ‰ RENEWAL ‰ NEW MEMBER 2. TYPE OF
MEMBERSHIP ‰ Annual Membership $ 25.00 ‰ Cash
$_____ ‰ Life Membership $500 ‰ Check #_____ $_____ Member’s
Information Member’s
Name:____________________________________ Spouse’s Name :____________________________________ Address
:__________________________________________ City:____________________
State:____ Zip:_____________ Phone:( )_______________ Fax: ( ) ______________ Email:
____________________________________________ Children &/or Other family
member’s name: 1._____________________ 2._________________________ 3._____________________ 4._________________________ ‰
I or a member of my family will be willing to help
in the Arya Samaj Activities? Please make checks payable to “Arya Samaj of Garden
State, Inc.” and mail the membership dues to the above address. If you have any questions please feel free to contact
Mrs. Sushum Singhal at psasd43@hotmail.com
Executive Committee