AIFD Membership form

Note: If you prefer to print out and send in your membership by mail, you can download the form (PDF/90KB) and fax it to us at 1-877-554-1472 or mail to the address listed.

First Name:
Last Name:
Address 1:
Address 2:
City:
State:		Zip:
Evening Phone:
E-mail:
Comments

Membership type requested:

In addition, I am interested in helping AIFD in the following areas: (check all that apply)

Marketing - Public relations
Fundraising
Interfaith outreach
Academic and scholarly work
Event coordination
Website management
Other (please specify in comments)

I agree with the principles and mission statement of the American Islamic Forum for Democracy and hereby affirm my support for the organization.

Form action: