Membership Renewal Form

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Assalamu 'alaikum wa rahmatullaahi wa barakaatuhu Brother/Sister

Masjid Bilal Ibn Rabah is grateful to your membership and our system indicates that your membership requires renewal. Please fill out the following form to renew your membership.

Suggested Membership Fee: $25.00
Student Membership Fee: $10.00

Please make check payable to "Masjid Bilal" or you can pay online via https://www.masjidbilalky.org/donate, select Option 7 for Membership Fee.

Jazaakumullahu khairan.

Email *

First Name: *

Last Name: *

Street Address: *

City: *

State & ZIP Code: *

Phone Number: *

Will you be paying membership fee? *

Yes

A copy of your responses will be emailed to the address you provided.

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