Become a member Fill the form below to join us. INSAFIndo-American Seniors Association Fremont - Membership FormPlease enable JavaScript in your browser to complete this form.Your Name *FirstLastYour Birth Details - Month & Date *Enter your date & month of birthName of Spouse (Only if spouse is also joining as a member)FirstLastEnter your NameYour Spouse Birth Details - Month & Date (Only if spouse is also joining as a member)Enter your date & month of birthMailing Address *Your Mailing AddressContact Phone Number *Your Phone numberEmail *Your e-mailEmergency Contact Phone Number *Emergency contact Phone numberYour Age *Your are between 55 & 65Your are above 65Your status *CitizenPermanent Resident (Green Card)VisitorSubmit Once you submit the application INSAF will reach out to you to complete the membership process.
