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NIS Membership Form- 2025
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* Indicates required question
First Name
*
Your answer
Last Name
*
Your answer
Address
*
Your answer
City
*
Your answer
State
*
Your answer
Zip
*
Your answer
Home Phone Number
*
Your answer
Email:
Your answer
Interested in Volunteering for
Weekend Islamic School
Operating Council
Board of Trustrees
Zakat Committee
Education Committee
Interfaith Committee
Construction Committee
Other:
Are you adding another Family Member?
*
Yes
No
Name of the Family Member
Your answer
Email ID
Your answer
Phone No.
Your answer
Click the following link to make a payment using Paypal:
https://goo.gl/XKKrUI
*
($60- Individual, $100- Family)
Membership Payment made using Paypal
Could not make payment. Please contact me.
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