Birmingham Islamic Society

Database Update Form

Please complete all the information in this form for it to be processed properly. If you need help or have questions about this form, please contact us at bisoffice@bisweb.org.

What would you like to do?

I am not currently in the database, please add me I am already in the database, please update it with this information I wish to remove my information from the database

Your information

Br./Sr.	Name
Br.Sr.

Your spouse's name

Br./Sr.	Name
Br.Sr.

Street Address

City	State	ZIP

Home Phone	Cell Phone

E-mail Address

How would you like to stay informed?

Please mail me the monthly community newsletter Please send me recorded phone messages for masjid activities Please send me e-mail announcements