Instructions: Form MUST be completely filled out and MUST be legible Applicant MUST be 18 years or older Membership is ONLY valid for a person who bears witness that: there is no God but ALLAH SWT and MUHAMMAD Peace Be Upon Him is HIS messenger. Membership is ONLY valid from January 1st to December 31st of a calendar year upon full payment of required fees. Donations of any type DO NOT constitute membership fees Membership fee to $300 per person for the calendar year Please fill the details below --Select Your Age--18+Not 18+ --USA Residential Status--CITIZENPERM RESIDENTOTHER --Please Select One--$300 - Yearly Membership Note: Please make check payable to: Shelter Rock Islamic Center and write MEMBERSHIP in memo area. To pay by Credit Card, please call the office at 516-744-6200 Questions: Email info@sricli.com Or Call 516-744-6200 App Link https://services.madinaapps.com/donation/clients/SRICMadina