YOUTH APPLICATION

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WELCOME TO THE MAS FAMILY!

YOUTH MEMBER REQUIREMENTS

Under 18 years of age
Parental Approval

Choose the chapter closest to you. If none exists, you can choose the Virtual Chapter.

MAS uses this information to help us build a diverse organization, representative of the Ummah.

Youth Member Annual Dues

Youth Member Dues

Other Amount

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USD

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Parent/Guardian Name *

Address Line 1 *

Address Line 2

City *

State/Province *

Zip/Postal Code *

Country

Parent/Guardian Phone *

Parent/Guardian Email *

Parent/Guardian Consent *

As a parent/guardian of the youth applicant, I consent to him/her being a youth member of MAS.

MAS Bylaws Acknowledgement - Fill in Parent/Guardian's Name *

Here is a copy of the current bylaws: https://masnational.org/national-bylaws

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Youth First Name *

Youth Last Name *

Phone 1

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Chapter *

Membership Level (if 18 years or younger, choose "Youth Member") *

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Ethnic Background *

Birthday (01/01/19XX or 01/01/20XX) *

All data is kept confidential. The year of your birth helps us determine the age distribution of our membership. Be sure to enter the year in a four digit format 19XX or 20XX.

Gender *

Data Privacy & Consent

Yes, I would like to receive text messages from Muslim American Society.

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Card

or enter your card details below

Cardholder First Name *

Cardholder Last Name *

Cardholder Email *

Card *

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Billing address is the same as mailing address

Address Line 1 *

Address Line 2

City *

State/Province *

Zip *

Country

Amount:

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