ICOP: ICOP Membership Application (For Groups)

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ICOP Membership Application
(For Groups)

Please use this form if you wish to join ICOP as Organization / Society / Mosque / ...etc.

Highly notice that all fields must be filled. Else, your application will NOT be sent.

* Kind of your group ?

* Name of your group ?

* Country in which your group is located ?

* Number of members of your group ?

- Information about the representative:-

First Name: Last Name: Title:
(Mr./Ms./Dr./Prof.):

Telephone: Fax:

E-Mail: Re-type E-mail:

Mailing address:

Your position in the
group (President, Imam,
member, ...etc.):

By Moh'd Odeh. Copyright © 1998-2006 Islamic Crescents' Observation Project (ICOP), All Rights Reserved. This material may not be reproduced in any form without permission. For more information Kindly send E-mail

* Kind of your group ?
* Name of your group ?
* Country in which your group is located ?
* Number of members of your group ?

First Name:	Last Name:		Title: (Mr./Ms./Dr./Prof.):
Telephone:	Fax:
E-Mail:		Re-type E-mail:
Mailing address:
Your position in the group (President, Imam, member, ...etc.):