• 9642 S. Western Ave Los Angeles, CA, 90047
  • (323) 940-4646
  • info@islamiccenterofla.org

Membership Application Form

Application Information

Payment: Application fee $10.00. Monthly Due per individual Adult is $25.00 (minimum) No Exception

*Mobile Phone # is important for easy communication, please provide

[Addition $25] For Family Applicants Only [Spouse]:

*Mobile Phone # is important for easy communication, please provide

Recommendation (Two NMASC Financial Members)

Please provide your credit card details

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