Information Update Form

Please give us your information and receive many benefits. All the information you provide below will be kept strictly confidential. Please provide full and accurate information.

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Please provide the following contact information:

Name
Street Address
Address (cont.)
City
State/Province
Zip/Postal Code
Work Phone
Home Phone
Cell Phone
FAX
E-mail
2nd E-mail
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Please tell us what kinds of services you would like to subscribe: (Check all that apply)

Monthly Newsletter 

WichitaMuslims E-mail Group

IslamInWichita E-mail group

Weekly Online Digest

Special Offers

AAWAZ (Urdu Newsletter)

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Please type "YES" if you want your information to be published in the Muslim Directory:

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If you would like to get an email from us (e.g. yourname@noornet.com), for $3.00 a month, please type your email address below:

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Comments:


           

Wichita Muslim Community Communications Committee
Copyright © 2002 [Islamic Society of Wichita]. All rights reserved.
Revised: March 01, 2002