Islamic Community Center of South Charlotte Membership Form
1068 Gant Road, Fort Mill, SC 29707 | 704-900-1964 | iccsc.org

NOTE: Each spouse needs to submit separate form.
First Name *
Middle Initial
Last Name *
Address *
City *
State *
Zip *
Telephone *
Email
How many children do you have (children over 18 need to fill out a separate form)? *
Agreement
ICCSC membership is required for voting rights. Membership shall be immediately revoked if the member holds membership in another Islamic Center or Masjid.

I shall abide by the Bylaws and Policies of the Islamic Community Center of South Charlotte (ICCSC) - a copy of the Bylaws is available from the ICCSC Executive Committee Members as well as our website.

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