Membership – Islamic Center of Bothell

Please read ICOB Bylaws (available at http://bothellmosque.org/about-icob/bylaws/ for complete requirements of membership). A few key points are mentioned below:

Must be a Muslim who resides in the King or Snohomish Counties and agrees with ICOB Bylaws.
Membership is annual for a calendar year (with completion of form)
Membership Fees for New Members are $10 per Individual and $20 +spouse/18yr children
Membership Fees for Renewals are $5 per Individual and $10 +spouse/18yr children. If your membership expired, it is considered as New Membership when renewed.
New members will have the voting right to shape the future of ICOB after 180 days (about 6 months) of their joining/payment dues and must be 18+ years of age (please see Bylaws for details)

ATTENTION: For new membership applications please make sure to validate your address with one of the board members before proceeding with the form.

Membership Year

Membership Type

Name

First

Last

Phone

Email

Address

Address Line 1

City

State

Zip Code

Spouse Name

First

Last

Spouse Email

Children older than 18 years (if including in the membership)

Name, age, email

Address Verification

I certify that I have verified my address with a board member using a valid government-issued ID

Signature

Clear Signature