Members Application

First Name

Middle Name

Last Name

Street

City/State

Zipcode

Cell Phone#

Home Phone

Email Address

References:

Name

Phone

Name

Phone

Members male/female terms and conditions:

Members male/female Must be resident of Niagara County at least for one year and must not have a membership or involvement at any other mosque, institute, and accepts and abide by the decision of the collective authority /By laws, Monthly Membership pay is required.