MEP Member Registration From
Please register by providing the information below. It is important that you provide a valid phone number and email address so we can keep in contact you.
Name *
Enter full name
Your answer
Phone
Your answer
Email
Your answer
Your Location *
Please indicate the community you live in or is closest to you, so we can better allocate resources to help you.
Please specify your location (if you chose "other" location)
Your answer
What is the best way to notify you of upcoming events?
Please select your age group
Please enter the year in which you accepted Islam
Your answer
Which mosque/center do you usually frequent on a regular basis?
Please enter "none" if you do not currently frequent any mosque.
Your answer
Please indicate main reasons that are currently stopping you from attending events at a mosque or other centers
Please share any other comments, questions, suggestions you have. We appreciate your input.
Your answer
How did you hear about our website?
Has someone been helping you make the transition to Islam? *
If yes, who?
Your answer
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