1-On behalf of the Mosque/Organization:
At the Address of:
We declare our full membership of the Islamic Association of North America, Inc. (IANA) this decision is based on the unanimous vote of its board of directors/trustees.
Mosque/Organization: is fully prepared to accept the rights and responsibilities offered by the privileges of being a member of Islamic Association of North America Inc.
Mosque/Organization: will not hesitate to implement all the right decisions made by the board of the IANA that neither contradicts nor negates the Qur’an and Sunnah and willfully follow the guidelines and policies laid out by the Board.
Mosque/Organization: will pay membership dues and service fees that have been determined by the IANA Board of Directors.
5- The Board of Directors/Trustees. Authorizes for the Islamic Association of North America, Inc. to intervene and become the de-facto mediator in the event of the internal conflict between the members of the Board of Directors/Trustees/Imams.
Member Mosque/Organization shall agree that all unresolved disagreements and disputes within Member Mosques//Organization or between Member Mosques/Organization —whether concerning the determination of priorities,
employment disputes, or religious matters—must be submitted within thirty (30) days to IANA for final resolution by the IANA Board of Directors.
The Islamic Association of North America, Inc. will rightfully exercise the power to present the final decision/resolution that serves the best interest of the center/Organization,
All organizational members must:
Submit copies of organization literature which describe the purposes of the organization
Have been in business for a period of at least one year
Designate an official representative whose decision is binding on the organization
Support the mission and goals of the Islamic Association of North America, Inc and pay dues
Provide proof of tax exempt status with this application
A. Organizational Member Information
To be completed by the Head of the Organization or designated representative of the Organization
Name of Organization:
City: State: Zip code:
Website: Phone: ( ) Fax: ( )
Type of Legal Entity”
Is the Organization a IRS Tax Exempt? Yes No
Federal Tax ID:
Is the Organization: National Local Council
B. Official Organization Representative to Islamic Association of North America, Inc. (IANA)
This person serves in the official organization representative capacity. In addition, if this person represents an organization with voting power, his/her vote shall be binding on the organization.
Designated Official Representative: Title
Phone: ( ) Fax: ( )
The signature of the official representative below indicates that the applicant’s institution approves joining the Islamic Association of North America (IANA), supports its purposes, and agrees with the decision binding requirement
Signature of Official Representative Date
C. Alternate Organization Representative(s) to Islamic Association of North America
This person takes the place of the official organization representative. In addition, if this person represents an organization with voting power, his/her vote shall be binding on the organization Designated
The signature of the alternate representative below indicates that the applicant’s institution approves joining the Islamic Association of North America (IANA), supports its purposes, and agrees with the decision binding requirement.
Signature of Alternative Representative Date
E. Membership Dues
Membership Monthly Dues: $500
Check enclosed (payable to Islamic Association of North America)
I authorize the Islamic Association of North America to charge these dues to my Bank Account/credit card.
F. This agreement was signed by the following members of the Board of Directors/Trustees:
G. IANA: In the presence of Islamic Association of North America INC. representatives: