Member Registration

Name
Email Address
Current Address
City
Prov
Postal Code
Phone (Home)
Phone (Cell)
Phone (work)
Fax
Current Profession
Specialization


Spouse Information (if applying for family membership)

Name
Email Address
Phone (Work)
Phone (Cell)
Current Profession
Specialization


Please provide two references below.

Name
Email
Phone


Declarations (circle appropriate response)

I am a Muslim over the age of 18
YesNo
I am Permanent resident OR Citizen of Canada(Will provide proof upon request)
YesNo
I am living in Saskatchewan for at least six months(Will provide proof upon request)
YesNo
I will abide by the constitution and By-Laws of IAOS Regina Inc.
YesNo
I am not a member of any other Islamic Organization in Saskatchewan
YesNo


Please fill this field with letters on RIGHT of Captcha field
captcha


NEWSLETTER SIGN-UP

Please submit your info to subscribe.