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KMRA Membership Form
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Email
*
Your email
Home Address:
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Your answer
Phone Number:
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Your answer
Regular Members
Please provide full names for each family members who are 18 years old & over and living at same household:
Family Member #1
*
Your answer
Family Member #2
Your answer
Family Member #3
Your answer
Family Member #4
Your answer
Family Member #5
Your answer
I confirm that all the family members listed above are Muslims 18 years old or above; paid their annual dues $10 per member and living in Peterborough-Kawartha Area for at least last six month.
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Yes, I confirm
Required
Membership Fees ($10 For Regular Member)
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Choose
Monthly Donor
Cash - Put the cash in envelope with your name and “membership fees”. Drop in donation box.
E-transfer at donations@kmrapeterborough.org
Junior Members
Please provide full names for each family members who are less than 18 years old and living at same household:
Junior Member #1
Your answer
Junior Member #2
Your answer
Junior Member #3
Your answer
Junior Member #4
Your answer
Junior Member #5
Your answer
A copy of your responses will be emailed to the address you provided.
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