Membership Form

Islamic Shia Association of Wellington

Additional Family Member Names

Address
Street Address Address Line 2 City ZIP / Postal Code
Occupation
Education
In what areas can you assist us?
Consent*
I hereby agree to the following conditions:
1) I am over 16 years of age.
2) I pledge to deposit NZD $15 as one time joining fee in Islamic Shia Association of Wellington Bank Account or pay cash to current treasurer.
3) I have read and understood the rules of the organization.

Account Number: 12-3141-0451933-00

Account Name: Islamic Shia Association of Wellington Incorporated

For any queries that you may have about the association please contact us on admin@shia.org.nz or i.shia.a.o.w@gmail.com