ISCV Membership and Keyfob application
Please read the following membership descriptions before continuing in order to make sure you qualify for membership.  Each application for membership is subject to approval by the ISCV Board before further action can take place.  jazak Allahu khayran.

Associate membership:

Regular membership:

ISCV By-Laws:
Sign in to Google to save your progress. Learn more
First name *
Last name *
Date of Birth *
Email address *
This is required in order to allow for automatic renewal of your membership and key fob activation
Cell Phone number *
Physical Address *
City *
If you do not live in Charlottesville, what is your primary masjid that you attend regularly? *
 Please state the name of the Masjid and City in this format:  (Masjid, City). If ISCV is your primary  masjid, write "ISCV."
Membership type:   *
NOTE:  All memberships require a one time $5 refundable deposit for a key fob.
How will you like to pay for your membership?   *
Note:  if one is not able to pay for regular membership but would still like to be a regular member, you are able to be a regular member at NO charge.
One of the simplest ways, and one of the most overlooked ways of securing the masjid, is to make sure that the door behind me is closed when I enter or exit the masjid.  As a member of ISCV, and as a key fob holder for the masjid, I will do my best to make sure that I keep the building secure by following this simple yet very effective policy.  
(Please type your name below to act as your signature)
Clear form
Never submit passwords through Google Forms.
This content is neither created nor endorsed by Google. Report Abuse - Terms of Service - Privacy Policy