Florida Association of Young Muslims

MEMBERSHIP FORM

“Whoever works righteousness – whether male or female – while he is a true believer verily, to him We will give a good life in this world, and We shall pay them certainly a reward in proportion to the best of what they used to do (Paradise in the Hereafter)” (16:97)

First Name Last Name
Age Group Under 10 11-16 17-21 22-27 28-39 40 plus

Gender:

Male Female
Address
City
State
Contact Information
Home Phone Cell Phone
Email  
Profession  
Best Method of Contact: Cell Home E-mail Other
Special Interests:
If any medical problems or required medication please specify below:

Email Account Setup:

By becoming a member with FAYM.org you will receive a FREE FAYM.org email address. Please complete the following section:

Email address: @faym.org
Password: (this password will allow you to log into your email account!!
Enter the code as it is shown: