Membership Form

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The amounts below are suggested based on income. We will not complain if you want to choose a higher amount. If you need to choose a lower amount due to your other financial responsibilities, may Allah make it easy for you.

If you are in need of a financial hardship or medical waiver, please reach out to ED@charlottemcc.org.

Children (under 16 years)
Stay-at-Home Spouse or Working Spouse

Note:

Since a 16 year old is considered a full member and may have voting rights if requirements are met, s/he will have to complete her/his own form.
Child membership fee of $5 a month provides you with discounts and early registration for events/programs.

Include a submember in your membership registration

If you have the ability to increase your support to MCC, it is most appreciated.

First Name *

Last Name *

Gender *

Year of Birth (19##) or (20##). *

Address Line 1 *

Address Line 2

City *

State/Province *

Zip/Postal Code *

Country

Email *

Phone 1 *

Submit as a company (if paying membership through your own business)

Company Name

MCC Pledge Commitment *

I agree to abide by MCC's mission, vision, values and bylaws.

Please visit charlottemcc.org/about-us/ to find mission, vision, values and bylaws.

Secure Payment

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Include a submember

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Choose Existing Contact(s)

Membership Level *

I would like to automatically renew my membership

First Name *

Last Name *

Gender *

Year of Birth (19##) or (20##). *

Email (different from primary registrant) *

Please add a UNIQUE email for your spouse if registering as part of household. Having a UNIQUE email address is the only way for your spouse to have a vote.

MCC Pledge Commitment *

I agree to abide by MCC's mission, vision, values and bylaws.

By agreeing here, you acknowledge you received consent from the dependent you are registering.

Add {{subMemberDisplayName}}

Secure Payment

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Membership auto-renews monthly for {{ formatAutoRenewAmount(sm.membershipInstallment.cost) }} until {{ sm.membershipInstallment.endDate }}

Membership auto-renews on {{sm.membershipAutoRenew.renewDate}} for {{formatAutoRenewAmount(sm.membershipAutoRenew.cost)}}

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Discount Code

Code:

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Order summary

Subtotal {{formatAmount(orderSummary.subtotal)}}

Discounts -{{formatAmount(orderSummary.discounts)}}

Total {{formatAmount(orderSummary.total)}}

Secure Payment

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Card

ACH

or enter your card details below

Cardholder First Name *

Cardholder Last Name *

Cardholder Email

Card *

Billing address is the same as mailing address

Address Line 1

Address Line 2

City

State/Province

Zip *

Country

Amount:

{{formatAmount(totalAmount)}} USD

Secure Payment

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Membership level allows for a maximum of {{term.subMemberAllowed}} submembers.

	Contact Name	Membership Level
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