Membership Application

First Name *
Middle Name
Last Name *


Street Address


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Amount ($) *

(1) I am a Muslim who believes and declares that there is none worthy of worship except Allah (SWT) and that Muhammad (PBUH) is His final Messenger and Prophet. (2) I am 18 years or older and reside in the vicinity of the Hillside Islamic Center, in the City of New York or the counties of Nassau in the State of New York. (3) I accept and agree to abide by the provisions of the Hillside Islamic Center (HIC) constitution and by-laws. I will follow and promote the HIC’s vision to be a center of excellence for developing vibrant Islamic community and a nurturing environment for the society at large in accordance with the Holy Quran and Sunnah of Muhammad (PBUH).

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