Islamic Society of Northern Baltimore (ISNB) Membership Form
Please fill out the following membership information. Your personal information will be kept confidential. For any questions, please email:
Write "N/A" if not applicable.
Home Address (Please Include City and Zip code)
Cell Phone Number (Optional)
Home Phone Number (Optional)
Membership Fee: $240
One Time Payment of $240 per Year - Individuals or Families (includes all family members)
Monthly Payment of $20 per Month - Individuals or Families (includes all family members)
Youth/Student Membership of $50 per Year (ages 18-25)
Method of Payment
Accepted Methods of Payment
Check (Checks Payable to Islamic Society of Northern Baltimore, Inc.; Mail Checks to 495 Padonia Road, Lutherville, MD 21093)
Online Payment (
By checking the box below, I acknowledge and agree to the information above and to comply with all ISNB membership policies and By-laws
Member Signature (Yes, I acknowledge and agree)
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This form was created inside of ISNB.