database review form Database (1) BIS database submission form. Name* First Last Email* Gender*MaleFemaleAre You Married?*YesNoSpouse's Name*If married, please enter your spouse's name. First Last Address* Street Address Address Line 2 City AlabamaAlaskaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaOhioOklahomaOregonPennsylvaniaRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahVermontVirginiaWashingtonWest VirginiaWisconsinWyomingArmed Forces AmericasArmed Forces EuropeArmed Forces Pacific State ZIP Code Primary Phone*Contact option*Let us know how you'd like to receive announcements and updates from BIS. You may choose more than one. E-Mail Recorded Phone Message Text Message Phone*Enter the number where you'd like to receive recorded messages.Cell Phone*Enter the mobile phone number where you can receive text messages. SMS and data rates may apply.Newsletter Option*If you would like to receive BIS' newsletter, BISmillah Vision, let us know your preferred method.Electronic (e-mail)Print (postal mail)I do not want the newsletterEmail Options*We offer two email options to our subscribers. Please select one of the following options based on your preference of type and frequency of our mailings. ONLY interfaith and/or outreach type events hosted by BIS or other local organizations (1-3 emails/month). Recommended for non-Muslims.ALL BIS related activities and/ or announcements for the Muslim community (3-7 emails/week). Recommended for Muslims.