UIC Membership Form UIC Membership Form Note: Please complete the UIC membership form. UIC Masjid membership is for community members living in West Jordan, UT. There are two types of Memberships available: Individual Joint (Husband and Wife) UIC membership is open to all Muslims 18 years of age or above who subscribe to the objectives of UIC. UIC membership is valid for one year, and it must be renewed each year RM_StatsMembership Type * Individual Joint (Husband & Wife) First Name *Last Name *Gender * Male Female Email *Phone *Address Address Line 1 * Address Line 2 City * State or Region AL AK AZ AR AA AE AP CA CO CT DE DC FL GA HI ID IL IN IA KS KY LA ME MD MA MI MN MS MO MT NE NV NH NJ NM NY NC ND OH OK OR PA RI SC SD TN TX UT VT VA WA WV WI WY State or Region * Country * Zip * Spouse First Name *Spouse Last Name *Spouse EmailSpouse PhoneDonation Using Pledge Form: Funds from Monthly donation pledge form help keep UIC runs its day to day operations and serve the UIC community members.Please download the Form from the link below, print, fill and bring it to UIC Office.Click here to download UIC Monthly Pledge FormTerms and Conditions *I agree that the information provided by me is 100% true and I am Muslim above 18 years of age. Member registration is pending until proof of residence can be established. Accepted forms of proof of residence are: - State issued ID (Driver License or ID card) - A copy of a current utility bill (electric, gas, or water)I agree to the Terms & ConditionMember registration is pending until proof of residence can be established. Accepted forms of proof of residence are: - State issued ID (Driver License or ID card) - A copy of a current utility bill (electric, gas, or water) Note: It looks like JavaScript is disabled in your browser. Some elements of this form may require JavaScript to work properly. If you have trouble submitting the form, try enabling JavaScript momentarily and resubmit. JavaScript settings are usually found in Browser Settings or Browser Developer menu.
