http://www.pbcausa.org/App_Themes/PBCA/Images/Events/Occasional/2024/Probashi Holy Thursday.jpg
http://www.pbcausa.org/App_Themes/PBCA/Images/Events/Occasional/2024/Probashi Easter Vigil Mass.jpg
http://www.pbcausa.org/App_Themes/PBCA/Images/Events/Occasional/2024/Probashi Save The Date.jpg
http://www.pbcausa.org/App_Themes/PBCA/Images/Events/Occasional/2024/PBCA_Annual_Planner.jpg


No Alcohol permitted at any PBCA event

For more information, Please call:
Simon - 646-773-7790, Dipti - 718-592-0588, Tipu - 917-774-6770, Apurbo - 917-279-3785, Manna - 646-886-4764, Jude - 201-892-9909 Raynu - 718-426-1049, Minu - 718-839-3537, Ponkaj - 646-725-0253, Agatha - 917-392-7058, Darrick - 718-657-0806, Rani - 917-488-0320

http://www.pbcausa.org/App_Themes/PBCA/Images/Events/Occasional/2024/Probashi Holy Thursday.jpg
http://www.pbcausa.org/App_Themes/PBCA/Images/Events/Occasional/2024/Probashi Easter Vigil Mass.jpg
http://www.pbcausa.org/App_Themes/PBCA/Images/Events/Occasional/2024/Probashi Save The Date.jpg
http://www.pbcausa.org/App_Themes/PBCA/Images/Events/Occasional/2024/PBCA_Annual_Planner.jpg

No Alcohol permitted at any PBCA event

For more information, Please call:
Simon - 646-773-7790, Dipti - 718-592-0588, Tipu - 917-774-6770, Apurbo - 917-279-3785, Manna - 646-886-4764, Jude - 201-892-9909 Raynu - 718-426-1049, Minu - 718-839-3537, Ponkaj - 646-725-0253, Agatha - 917-392-7058, Darrick - 718-657-0806, Rani - 917-488-0320

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Tepantori 30th Issue
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(Please print this page and fill it by hand and then mail it to the address below)

New Membership Application Process
Candidates for membership should be at least 18 years of age. The application must be completed, signed, dated, accompanied by a check for the annual membership due of $10.00 per individual within a house hold. Make check payable to: Probashi Bengali Christian Association

Mailing Address:
Probashi Bengali Christian Association
798 Park Ln S
Franklin Square, NY 11010

General Information

Head of Household

First Name

Last Name

Nick Name

 

 

 

Date of Birth

Male / Female

 

 

 

 

 

Address Information

Address ( Street e.g. 123-34 Junction Blvd)

 

City

State

Zip Code

 

 

 

 

Tel/Emails

Home Tel:

Work Tel:

Cell No#

 

 

 

Email1

Email2

Email3

 

 

 

 

Family Information ( Wife, Children, brother, sister, parents)

Name

Relation

Date of Birth

Email / Cell

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Applicant Signature

 

Date

http://www.pbcausa.org/App_Themes/PBCA/Images/Events/Occasional/2024/Probashi Holy Thursday.jpg
http://www.pbcausa.org/App_Themes/PBCA/Images/Events/Occasional/2024/Probashi Easter Vigil Mass.jpg
http://www.pbcausa.org/App_Themes/PBCA/Images/Events/Occasional/2024/Probashi Save The Date.jpg
http://www.pbcausa.org/App_Themes/PBCA/Images/Events/Occasional/2024/PBCA_Annual_Planner.jpg

Convention Site
Silver Jubilee DVD
Bangladesh Christian Association, MD Event
Silver Jubilee DVD