Islamic Society of Central Virginia

118 10 1/2 St. SW,
Charlottesville, VA 22903
iscv@charlottesvillemasjid.org


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ISLAMIC SOCIETY OF CENTRAL VIRGINIA

Membership Application 2008

(One application per member)

Membership Status (please check one)  


Application Information
Full name of applicant:  
Age:     Gender: 
Spouse's name:
Street Address:   City:  
State:   Zip:   Email:   
Telephone Number:
Home:   Work: Cell:
Language(s) spoken: Other:
*Nationality (Optional): *Occupation (Optional):
**Please include the following information in the ISCV Membership Directory (optional):
* Information on nationality and occupation would allow ISCV to refer interested parties from the Muslimcommunity for any professional service or voluntary assistance that you’re willing to provide.

Note: As a ISCV Member you will automatically recieve email updates from ISCV.
If you wish to make the payment by check or cash please download the form here. Complete the form and mail it to

ISCV – Membership
P.O. Box 3403
Charlottesville, VA 22903