Long Island Nepalese Society, New York

Admin login (optional)— only required for admin tasks such as selecting Honorary membership

Signing in is optional. New members do not need to sign in to submit the form.

🎟️ Membership Type

Choose the membership that fits you

Membership Fee

USD 15.00

💡 No online payment. Invoice & payment instructions (Zelle or check) will be emailed.

⚠️ Applicants aged below 18 are not entitled to voting rights.

First Name *

Middle Name

Last Name *

Date of Birth *

Street Address *

Apartment, suite, etc.

City *

State *

ZIP *

Phone *

Confirm Phone *

Email *

Confirm Email *

Preferred Contact Method *

Mandatory Documentation (select one) *

Upload verification files (optional, up to 2 files, images or PDF, max 5 MB each)

Files will be attached to your confirmation email. Total attachments must be under 25 MB.

Declaration for Eligibility and Participation in the Electoral Process

I hereby declare that, in accordance with the electoral requirements stipulated in the LINS Bylaws, I shall present myself in person at the designated polling venue and provide a valid DMV-issued identification card for verification purposes. I affirm my commitment to adhere to all prescribed rules, regulations, and the code of conduct governing the election process. I further acknowledge that, should any documents submitted by me be found to be inaccurate, falsified, or unverifiable, I shall forfeit my eligibility to participate in the voting process.

I acknowledge and accept the declaration. (Required)

I understand payment is external (Zelle or check) and invoice will be emailed. (Required)

Signature (derived): (Full name will be used as signature)

• Please enter Day, Month and Year for Date of Birth.

• Select one verification document.

• You must accept the declaration.

• You must acknowledge the payment note.

• ZIP must be 5 digits.

• Enter a valid email address.

• Enter valid phone number no dashes or space. Exactly 10 digits required.