The Council of Islamic Guidance Inc.

The Counsel of Islamic Guidance strictly follows guidelines setup by it's board of directors.

You must be a Shia Ithna-'Ashari Muslim.
You must provide two credible references.
Membership fee is $72 for Singles and $144 for Families.
Membership is subject to approval.

Please fill out the form below. We will verify this information and contact you to let you know the status of your application. If you were approved for the membership you will be required to come in and sign an actual application and pay the membership dues. All required fields are marked with an *.

Your Name* :
Address* :

City* :
Postal Code* :	Profession :
Phone* :	Office :
email :

If you are married please provide the following information:

Type of Membership Required	Single ($72) Family ($144)
Spouse Name
Children
1. Name :	DOB
2. Name :	DOB
3. Name :	DOB
4. Name :	DOB
5. Name :	DOB

Please provide two credible references:

Witness 1 *		Phone
Witness 2 *		Phone