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M weCQC Membership Application
The Muslim Community of the Quad Cities
2115 Kimberly Rd, Bettendorf, IA 52722
Contact us at (563) 293-1593 or treasurer@mcqc.org

Membership dates are from January 1, 2024 to December 31, 2024.
Please make checks payable to MCQC.
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Membership Application *
Full Name *
Gender *
Email *
Phone Number *
Address
Profession/Company Name (optional) 
Residency Status *
Skills and Volunteer Information *
Required
Spouse Full Name (if applicable)
Spouse Skills and Volunteer Information
Name of Children (if applicable), please include if they attend Youth Group and/or Sunday school, as well as volunteer willingness.
I hereby apply for membership to the MCQC. I agree to abide by the organization’s by laws.
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Application Type *
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