testing Membership Form Primary MemberFirst Name* Last Name* Email* Phone* Address*Membership Level*Select Membership LevelRegistered Member- FamilyRegistered Member- IndividualSecondary Family Members*NameRelationship Membership Fee*Select Membership FeeYearlyMonthlyMonthly Fee: $10.00Annual Fee: $100.00Annual Fee: $50.00Monthly Fee: $5.00Date MM slash DD slash YYYY Have you ever been convicted of a crime (including probation(s) before judgement, felonies, misdemeanors, or ordinance violations), or do you have any pending criminal charges awaiting a hearing?* Yes No Please describe all convictions, when they occurred** I agree on my behalf to comply with and be bound by the Articles of Incorporation, Constitution, By-Laws and any amendments to Policies, Rules, and Regulations adopted at any time by the Islamic Center of Boise in accordance with its Constitution and By-Laws. * Δ