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Muslim Community Association of Ann Arbor

2301 Plymouth Rd, Ann Arbor, Michigan 48105, USA

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Membership Information

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Membership Type

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Membership Fee Type

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No of Group Members

1 Member Information

First Name *

Last Name *

Phone Number *

Email Address *

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Company Name

Address1 *

Address2

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Native Country

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Date of Birth

Gender

Marital Status Family Membership $200 and Individual Membership $100. Membership applications are reviewed at monthly board meeting. Dues are assessed after approval.

Spouse

Child 1(15+)

Child 2(15+)

Child 3(15+)

Child 4(15+)

Reference 1 (Name and #)

Reference 2 (Name and #)

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I Accept * Declaration

Membership Details

Start Month

January 2020

Membership Join Date

01/18/2020

Membership End Date

Start Month

January 2020

Membership Join Date

01/18/2020

Membership End Date

12/31/2022

Start Month

January 2022

Membership Join Date

01/01/2022

Membership End Date

12/31/2024

Muslim Community Association of Ann Arbor

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Membership Information

1 Member Information

Membership Details

Declaration

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