The Islamic Institute
is funded by grants, donations and membership dues, there are two methods
to make a donation.
1) - MAIL - PLEASE COMPLETE THIS FORM, PRINT AND MAIL TO:
1920 L Street NW. Suite 200, Washington DC 20036 or
2)- ONLINE - Click on the donation button for secure PayPal online donations.
| MEMBERSHIP TYPE |
ANUAL RATE US$ |
2 YEAR RATE US$ |
| Business |
$100 |
$180 |
| Individual |
$35 |
$65 |
| Family |
$50 |
$90 |
| I'm adding a special gift of: $ TOTAL AMOUNT ENCLOSED : $ |
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| BUSINESS
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| TELEPHONE:
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| FAX:
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| E-MAIL:
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Enclosed is a check/money order (payable to Islamic Institute) |
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| Please charge my Visa Mastercard American Express | ||
| Card
#
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| Expiration date: |
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| Card Verification
Number: __ __ __ (On the back of your card, locate the final 3 digit number) Signature: __________________________Date:_____________ IMPORTANT: Please remeber to print form, sign and post it directly. |
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