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Patron Membership

I / we have pleasure in joining as a Patron Member of MACCIA.
 
    
Name of the Patron Member (In full) *   
Membership Category  *

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Full Address for the Correspondence *
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Region *
State *
District *
Country *
Pin Code *
Telephone No. (Office) *
Telephone No. (Residence) 
Fax No.
Mobile No. *
Email ID 
Additional Email ID 
Website
Pancard No 
Pancard Scan copy 
Photo 
Proposing member of MACCIA 1
Proposing member of MACCIA 2
Contact Person I Contact Person II
Designation Designation
Mobile No. Mobile No.
Residence No. Residence No.
IE No. VAT No. Service Tax No.
Import Countries Export Countries
Import Commodities Export Commodities
Nature of Business Category
Trade


Industry
Agriculture
Professional


Manufacturing


Financial Institute
Transport
Media & Research
Association


Services
Other


Product
Services
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Payment Details
Cheque should be drawn in favour of  Maharashtra Chamber of Commerce, Industry & Agriculture
Payment Mode
Balance Sheet of Last Year    :-  
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Note – Organisations / Corporates donating sum of Rupees Two Lacs Fifty Thousand & above and Individuals donating sum of Rupees One Lac & above will be enrolled as Patron Members of the Chamber. Donations to the Chamber are eligible for deduction under Section 80G of I.T. Act.