Membership Registration
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Membership Fee: $100 for Family and $50 for Single)

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Name (Example: Basel Al-Sayed) *
الاسم الرباعي بالعربي (Optional)
e-mail *
Mobile Number (Including country code if outside USA) *
Street Address *
City *
State *
Zip Code *
Age (Optional. Example: 33)
Marital State? *
Spouse Name? (Example: Lara Hassan)
How many children you have (Example: 3)? *
What is the name and ages of your children? (Example: Hasan 20, Haya 18)
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