ICCM Membership Form
We would like to encourage all community members to become or renew their ICCM membership. Please note that it is $50 to register as an individual member and $75 for a family. The definition of family is husband and wife and children 15 years and younger. If your child is 16 or older they will need to register as an individual. Please note that membership donations/dues assist with funding the ICCM's day to day operations.

Please note that if you are a MU Student, and an active MSO member, you will be considered an ICCM member. Also note that membership is not complete without payment. You may pay in person at the ICCM (cash/check/money order) or via PayPal Payment option below.

Should you have any questions please contact the ICCM at theicofcm@gmail.com.

Thank you!
ICCM Administration

Name *
Your answer
Name of Spouse
Your answer
Number of Children (15 and under)
Your answer
Phone number
Your answer
Email *
Your answer
Address *
Your answer
Membership Type *
Membership Fee *
Would you like to be an ISNA member? If so, please include extra $10 and select ISNA member below. *
Comments
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You may issue payment via the paypal link below! Thank you!
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