ACT- Association of Computer Trainers

Renew Membership Form

Renew Memship Fees 500/-

Member ID	A value is required.
Center Name	A value is required.
Co-Ordinator	A value is required.
Date of Birth	A value is required.
Center Phone No.	A value is required.Invalid format.
Mobile	A value is required.Invalid format.
Center Address	A value is required.
Email	A value is required.
Center URL
Reference	A value is required.
I have read and understood the instruction and information of the Association. Above information provided is correct. Cheques or DD are Accepted on A/C payees as Association of Computer Trainers, Kolhapur Only