Al-Amanah Membership Form

بِسْمِ اللَّهِ الرَّحْمَٰنِ الرَّحِيمِ

Assalamu Alaikum! Welcome to the membership arena of Al-Amanah Trust. You are just one step away to become a registered member! Al-Amanah Trust is a US non-profit organization registered in the State of South Carolina (check the Status). Al-Amanah is giving a unique opportunity to save and get interest-free loans whenever you need it. Your savings could start from as low as $50/month. Please visit www.alamanah.org/, read the Constitution, contact the board, or email aamanahtrust@gmail.com should you have any questions. And, jump in-----

Membership Application

*Office Use Only:

The Status of Application is-

Authorized Membership ID

Membership Valid Thru-

Date

Board Representative Signature

Personal Information

Full Name *

First Name Last Name

Date of Birth *

Date

Current Address *

Street Address

Street Address Line 2

City State

Zip Code Country

Phone Number *

Area Code Phone Number

E-mail *

example@example.com

Please upload a copy of your valid Driving License or Govt. Issued ID (Passport/State ID): *

Max Size 1500 KB

Emergency Contact

Name *

First Name Last Name

Address

Street Address

Street Address Line 2

City State / Province

Postal / Zip Code Country

Phone Number *

Area Code Phone Number

Email

example@example.com

Membership Questions

Date when your membership begins (if different than today)?

Date

Please provide at least one reference of any standing member: *

Full Name

Contact Number

How much you're planning to save each month with Al-Amanah? *

Feedback

Will you be willing to recommend Al-Amanah Trust? *

Yes Maybe No

Who do you would like to refer Al-Amanah Trust:

Full Name

Email

Any Feedback/Comment is appreciated:

Suggestions if any for further improvement:

Acknowledgment and Signature

Signature *

Date *

Date

Payment

Membership fee ($10) and first-month installment (min. $50) is due at sign up.

Method of payment- You can pay from your PayPal a/c by clicking here or sending the Paypal payment directly to 'aamanahtrust@gmail.com'.

Please make the payment and redirect it here to finish the application. Don't forget to write a note on the payment for your record.

I've made the payment and the amount paid is? *

$10 for Membership $50 for First Installment $60 for Both

Please provide the Paypal transaction no. for the payment- *