9212 Baseline Road, Rancho Cucamonga, California 91701, USA
" I solemnly declare that the information provided in this form is true and complete to the best of my knowledge. I live or work in any of the following cities: Rancho Cucamonga, Upland, San Antonio Heights, Fontana, Ontario. I solemnly declare that I am a Muslim and I believe that Allah is the only God and Prophet Mohammad (PBUH) is the final prophet and messenger of Allah. I solemnly declare that I am at least 18 years old.
I hereby pledge to support and abide by the By-laws, policies and regulations of the Islamic Center of Inland Empire (ICIE). I solemnly declare that I have not been currently charged with a violent misdemeanor or any felony. I solemnly declare that I have not been in anyway associated with bringing or attempting to bring any law suit/legal complaint/injunction directly or indirectly against the Islamic Center of Inland Empire or its officers, directors, employees, and other agents. I do hereby agree to hold harmless the ICIE and the officers, directors, employees and other agents against any claim, liability, loss, damages, or expenses whatsoever which I sustain at any time by any reason of any actions taken or not taken in good faith by ICIE or any of its officers, directors, employees, and other agents. I understand that to become a member of the ICIE, I must be in good standing and therefore must not in any way: caused damage to ICIE property, bring fitnah (disturbance), persist in un-Islamic activities/behavior, and/or cause financial harm to the ICIE. I understand that the membership dues, amount listed above, shall be paid annually in advance. I understand that the membership in ICIE is a privilege. I also understand that ICIE reserves the right to refuse or reject this application or revoke membership any time without specifying a reason."
Membership Start Date:
Membership End Date:
Membership Join Date:
Since you purchased free Ticket No Payment Required.