SSL Certificate

Please fill out this form completely and send by hitting the submit button at the bottom.

This transaction is encrypted for your privacy and protection using the  state of the art SSL (secure socket layer) technology to keep your personal information private, including your Credit Card numbers. We assure you that we will not sell, share, or exchange your personal information or e-mail addresses to anyone, nor do we participate in SPAM or junk e-mailing. Privacy and Security Policy.

Should you have any questions or difficulty while filling in this form, please call us at (310) 642-0006, Ext 100.
To learn more about membership program please click here

Thank You.


 If your membersip or your pass has expired and/or you wish to renew it, please
 

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Phone #:
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Email Address:

Important: Please provide your primary email address. 
Providing your e-mail address to IslamiCity will allow us 
to send you important information about your membership 
and special e-mail offers. Please see our Privacy and Security Policy
for detailed information.
Re-enter Email Address:
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(Passwords must be  6 to 10 characters long.)
Payment Method:    By Credit Card     By Check (Learn more)
Your name on Credit Card:
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Membership Fee & Term
Please Read: You authorize IslamiCity to charge the amount indicated to your credit card and Automatically Renew your membership and charge it to your credit card to ensure uninterrupted membership benefits. 
You can opt out of Automatic Billing at any time by contacting us or by changing your Profile.
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Final Comments



If the selected membership type is "Family Membership", please write down the names of the family members' names in the above comments box.


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