Request edit access
ISE Membership Registration Form

In the name of Allah SWT, the Most Beneficent, the Most Merciful

The Islamic Society of Evansville would love to have you become a registered member! The purpose of the monthly membership dues is to help our masjid meet the daily operational expenses required to maintain a safe, clean, and comfortable environment for all. The dues are calculated by figuring out a distribution of monthly expenses among the number of individuals who regularly attend our masjid activities. Membership fees are $35 per person (age 18+) per month and include voting privileges for our biannual elections. The ISE members' children (age 18+) must pay a separate membership fee if they wish to vote in ISE elections. Please fill out this form with your most recent information. For questions, please contact Please note that any donation to the ISE that is not designated as sadaqa/zakat will be counted as a contribution toward membership dues. Welcome and JazakAllah Khair!
Sign in to Google to save your progress. Learn more
Email *
I bear witness that there is no deity worthy of worship except Allah ُسبْ َحانَ ُه َوتَ َعا َلى , the One True God, and Mohammad صلى الله عليه وسلم is His final messenger. By applying for membership to the Islamic Society of Evansville, I agree to abide by its constitution & bylaws and I agree to fulfill my financial obligations in the form of membership dues. *
Full Name *
Names of all family members and children's ages *
Mailing Address *
Phone number for WhatsApp announcements *
Although it is not required to submit information for automatic monthly bank draft of the membership fees, this is the easiest, most secure option, and standard practice among the majority of our members. Dues are payable via cash, check, or automatic bank draft. We welcome your suggestions so please feel free to contact us with questions and/or concerns. *
A copy of your responses will be emailed to the address you provided.
Clear form
Never submit passwords through Google Forms.
This content is neither created nor endorsed by Google. Report Abuse - Terms of Service - Privacy Policy