Subscription to Al-Mahdi Islamic Community Centre Email Form

Community Members Who Attend The Centre - This form should be completed by the Head of the Household on behalf of their family as well as by any individuals aged 18 and over.

Visitors or those who want to only subscribe to Al-Mahdi Islamic Community Centre Email - Please provide your name, mailing address, telephone contact and email address. This is required information in order to subscribe.

Section A - You

Full Legal Name

Gender

Male Female

This address will receive a confirmation email

Home Phone

Mobile

Would you like to receive notifications via Whatsapp on the above number?

Yes No

Address

Profession/Field of Work

Section B - Your Family (Optional)

If you are married and/or have children under the age of 18, please fill in the information below. Please DO NOT include your children age 18 and over. A seperate form should be completed by those age 18 and over.

Name of Spouse (First Name, Last Name)

Gender Male Female

Mobile

Profession/Field of Work

Do you have children below the age of 18 ? Yes No

Child 1 - Name (First Name, Last Name)

Child 2 - Name (First Name, Last Name)

Child 3 - Name (First Name, Last Name)

Child 4 - Name (First Name, Last Name)

Child 5 - Name (First Name, Last Name)

Subscription to Al-Mahdi Islamic Community Centre Email Form

Description

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