Membership Application

First Name: Last Name: Email: Phone: Address: City: State: Zip: -

If you are a full-time student in high school or an undergraduate, you qualify for an

exception to the member rates above.

Visit this link below

Full-Time Student Member Application

MONTHLY Membership Contributions

$365

$313

$260

$208

$156

$104

$52

$25

Other Amount ($25 or greater)

$365

$313

$260

$208

$156

$104

$52

$25

Other Amount ($25 or greater)

Demographics

MAS is working towards increasing diversity and maximizing our resources within our membership. While these two questions are optional, it helps us measure progress towards makes MAS more diverse in terms of age, ethincity and gender.

Employment Status Profession: Employer/School Name Ethnicity Do you consider yourself 2nd + generation (born and raised in the United States) Birth Date (please insure 4-DIGIT BIRTH YEAR IS ACCURATE) / / Gender:

Chapter Selection

Please choose the chapter you wish to affiliate yourself with. If you are a new member, we will be reaching out to the chapter leadership and connecting you to them. If there is no chapter in your area, please email Membership[at]MuslimAmericanSociety.org, but choose unaffiliated for now.

Choose a chapter to be a part of:

MEMBERSHIP APPLICATION ACKNOWLEDGMENT

By submitting this form, you acknowledge agreement and acceptance of the mission, vision and values of the Muslim American Society. Submission of the form does not guarantee membership. MAS reserves the right to decline, cancel or revoke membership at any time a person exhibits behavior or actions contrary to our values. As a member, you agree to resolve any dispute pertaining to MAS, its chapters or affiliates through Islamic Arbitration as outlined in MAS' policies and procedures.

Please type your name to indicate your understanding of the acknowledgment statement above.