London Muslim Mosque

Membership Application Form

151 Oxford Street W., London ON N6H 1S3

(519) 439-9451

secretary@londonmosque.ca

Personal Information

Address

To qualify you must be resident in London for a minimum of 6 months at the time of the membership application and during the term of membership.

References

Please provide two references who are currently members of LMM in good standing.

Terms & Conditions

All members must read and agree to abide by the mosque By-laws.

Signature