IHSAN MEMBERSHIP FORM

Memberships run annually from Jan-Dec. You may subscribe at anytime and any back issues will be sent to you.

UK Subscription…………...……….….…£15.00	Overseas Subscription……………...…£25.00
European Subscription.………...……...£20.00	Institutional Subscription.…………...£30.00

õPLEASE PRINT CLEARLY AND IN CAPITALSõ

I would like to subscribe for the year 20….………..

If you are a returning member please tick here

First Name:

Surname:

Address:

County:

Post Code:

Country

Phone:

E-mail:

I enclose a cheque, postal/money order payable to Islamic Home Schooling Advisory Network to the amount of:

Please note that payment must be made in pounds Stirling only.

Subscription:

£

Donation:

£

TOTAL:

£

CONTACT LIST

IF YOU DO NOT WANT TO BE ON THE CONTACT LIST PLEASE TICK THIS BOX

NB: For your safety only the post-code of your address will appear on the contact list. Therefore, if you would like contact with other members please ensure you have given either a phone number or email address on the membership Form.

OTHERWISE PLEASE ENTER ADDITIONAL DETAILS FOR THE CONTACT LIST SUCH AS:

The date(s) of birth of your child(ren); skills that you are willing to share with other members or convenient times when you can be contacted by phone.

How did you hear about IHSAN?……………..………………………...…………………………....................

Please send your completed form with payment to IHSAN, PO Box 30671, London E1 0TG

For Office Use:

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