ICI Membership

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Islamic Center of Irving
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First Name *

Last Name *

Email *

Address Line 1 *

City *

State/Province *

Zip/Postal Code *

Please list two existing ICI members who bear witness to your righteousness

Membership reference 1 *

Membership reference 2 *

Are you an ISI Parent? *

Yes - At least one child is an ISI Student

Do you agree to the terms/conditions *

Yes

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Include a submember in your membership registration

Include a submember

SUBMEMBER {{index+1}}: {{getSubMemberName(index)}}

Choose Existing Contact(s)

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I would like to automatically renew my membership

First Name *

Last Name *

Address Line 1

City

State/Province

Zip/Postal Code

Add a submember

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$ Add a donation

Other Amount

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USD

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Donation

Discount Code

Code:

-{{formatAmount(orderSummary.codeDiscount)}}

Order summary

Subtotal {{formatAmount(orderSummary.subtotal)}}

Discounts -{{formatAmount(orderSummary.discounts)}}

Total {{formatAmount(orderSummary.total)}}

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Cardholder First Name *

Cardholder Last Name *

Cardholder Email

Card *

Billing address is the same as mailing address

Address Line 1

Address Line 2

City

State/Province

Zip *

Country

Routing Number *

Account Number *

Account Type *

Account Holder First Name *

Account Holder Last Name *

Amount:

{{formatAmount(totalAmount)}} USD

({{formatAmount(amexTotalAmount)}} USD for AMEX cards)

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ICI Membership

Phone: 972-812-2230

2555 Esters Rd.
Irving, TX 75062

Other ways to donate:
Zelle: treasurer@irvingmasjid.org

Membership level allows for a maximum of {{term.subMemberAllowed}} submembers.

	Contact Name	Membership Level
	{{item.contactName}}	{{item.membershipLevel==null?'-':item.membershipLevel}} {{item.startDate}} - {{item.endDate}}
No contacts.