Islamic Ahlul Bayt Association
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Membership Form

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  • Date Format: MM slash DD slash YYYY
  • Date Format: MM slash DD slash YYYY
  • Date Format: MM slash DD slash YYYY
  • Payments:
    Dues Paid: Amount Paid: Method of Payment:
    Please pay the applicable membership dues with the application, either electronically, check, or cash. In case application is not approved, the money paid will be fully refunded. Members pay dues each year in January.
  • Membership Recommendation

    We need references from two officers. Please fill out their names and have them give you authority to sign their name.
  • Office Use

  • Approved: Date:
    Officer Name: Signature: Date:
    Officer Name: Signature: Date:

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