DIS New Membership Application
First Name *
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Last Name *
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Address *
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Email Address
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Telephone# *
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Marital Status
Children#
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Reference ( Please supply a current regular member who will recommend your membership )
Member's Name *
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Telephone Number
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I hereby apply for the membership for Denver Islamic Society. I agree to abide by the society’s constitution and bylaws. I understand that submitting his application does not imply automatic approval.
I understand the monthly membership fee shall be collected upon approval of my application.
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Applicant's Full Name
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Date *
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This form was created inside of Denver Islamic Society.