CIC HAS MOVED to


877 Shefford Road.
Gloucester
Ottawa, Ontario
K1J 8H9

Tel: (613) 680-2867
Tel: (613) 680-2871
Fax: (613) 680-2902

CIC Individual Membership Registration

CIC is run primarily by volunteer staff and depends on donations from Canadian philanthropists like you... Please donate generously.

Membership Fees

Regular and annual membership: $100
Youth annual membership: $50
Student annual membership: $5
Lifetime membership: $1000

Note: All annual memberships are from Jan. to Dec.

[From the CIC Bylaws: Member QUALIFICATIONS - Applicant shall: be a Muslim; be at least twenty-one years of age; be currently residing in Canada; be a Canadian Citizen or has been granted landed immigrant status under the provisions of the Immigration Act of Canada.]

Please fill and submit the application form below and proceed to the online payment form.

Personal Information


Suffix

First Name

Last Name

Address

City

Province

Zip code

Email address

Phone

Fax



Professional Information


Occupation

Position/Title

Company



Organization Affiliation


Provide which Islamic Organization you currently belong to: (if any)

Org. Name

Address

City



How can you help?


The purpose of CIC is to provide a coordinated Muslim Voice to political, legal and media establishments of Canada. Please indicate your area of interest by checking one or more of the boxes below:

Facilitate a visit of the CIC Task Force to your City, Mosque, Islamic Centre or Islamic Organization.

Initiate a public awareness campaign among Muslims promoting establishment of CIC.

Volunteer in functional committees (eg. fundraising, office staff, newsletter, legal assistance, etc.)


Additional Comments


Provide any additional input or suggestions


Please do not publish my address and phone/fax number in the annual membership directory.

Membership Fees

We accept the following credit cards
vi mc amex discover

I would like to pay the membership fees for: (all funds in Canadian Dollars)


Student annual membership: $5
Youth annual membership: $50
Regular annual membership: $100
Lifetime membership: $1000

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Please note that the payments you make on this site are non-refundable. Thank you.