Member Details First Name * Last Name * Login Id * Password * Email Address * Confirm Email Address * Phone * Address1* Address2 City* State * --- Select State --- Alabama Alaska Arizona Arkansas Byram California Cokato Colorado Connecticut Delaware District of Columbia Florida Georgia Hawaii Idaho Illinois Indiana Iowa Kansas Kentucky Louisiana Lowa Maine Maryland Massachusetts Medfield Michigan Minnesota Mississippi Missouri Montana Nebraska Nevada New Hampshire New Jersey New Jersy New Mexico New York North Carolina North Dakota Ohio Oklahoma Ontario Oregon Pennsylvania Ramey Rhode Island South Carolina South Dakota Sublimity Tennessee Texas Trimble Utah Vermont Virginia Washington West Virginia Wisconsin Wyoming Zip Code * Cell Number Reference: (Required) Name * Phone Number * Name * Phone Number * Fee Monthly Membership Fee: $ 20.00 Please enter atleast one month of fee $ Amount: $20.00 $40.00 $60.00 $80.00 $100.00 Other Total: $20.00 Method Of Payment Check Cash Credit Card Attachment * * Terms & Conditions Applicant must be a Muslim who is 18 years of age or older. Applicant must be a resident of the Washington D.C Metro Area. Applicant must enclose a copy of valid photo identification. In the event of change of address, member will notify BIC with new address within 30 day. Applicant agrees to abide by the constitution of BIC. Bic is non-profit organization and free from all kinds of political activities (i.e., Political Lecture, Political Gathering, etc). Applicant by signing the application agrees to release BIC, its Directors, Officers, Employees, and Agents from any claims, demand of action applicant may have against BIC as a reslt of omission, rejection, suspension, or termination of applicant's membership. I agree that my submitted data is being collected and stored.
