AICC is a non-profit organization with no foreign or ethnic affiliation. We operate our organization by membership fees and donations from member organizations. Basic membership is free to all Muslims. Every Islamic owned or managed business or individual can be a member of our organization by simply applying for membership (see below for application). Personal information obtained from our members are basic and will not be published in any format unless requested by you in writing. Business establishments will be listed in our directory in order to promote Islamic businesses. These information are from public sources. If you would like to add your business to our directory or make any changes to your business listing in our directory, please contact us. There are no charges for listings.

Information obtained here are basic. It will not be published anywhere by us unless you give us your permission in writing. All answers are optional.

Please fill this application form and submit it to AICC ( Note: If you are having difficulty submitting this form, please copy it and E-mail it to: aicc@americanislam.org - Thank You) :

NAME:

DATE OF BIRTH:

PLACE OF BIRTH:

ADDRESS:

CITY, STATE, ZIP:

HOME PHONE:

UNITED STATES CITIZEN ; YES NO

ARE YOU A COMPANY OFFICIAL: YES NO

IF SO WHAT IS YOUR POSITION

BUSINESS NAME:

TYPE OF BUSINESS:

SIZE OF YOUR BUSINESS: Annual revenues of less than $1,000,000

Annual revenue of $1,000,000 to $5,000,000

Annual revenue of $5,000,000 to $10,000,000

Annual revenue of more than $10,000,000

NUMBER OF EMPLOYEES:

HOW MANY BRANCHES OR OFFICES DOES YOUR COMPANY HAVE:

BUSINESS ADDRESS:

CITY, STATE, ZIP:

BUSINESS PHONE:

FAX NUMBER:

E-mail ADDRESS:

May we publish your information in our directory and on our Web Site ? YES, NO

In the United States, all citizens above the age of 18 are eligible to vote. All citizens are also eligible to run for political office. Naturalized citizens are eligible to run for any office except presidency. We at the American Islamic Chamber of Commerce strongly believe that only through business success, political involvement and exercising our right to vote, can we control our future in this country. So we encourage every one of you to get to know your local and national politicians. Get involved with the political process. Run for election in some capacity; Be it the School Board, City or County Commissioner, State Legislator, Governor, Congressman or Senator. With this in mind we ask the following questions:

ARE YOU A UNITED STATES CITIZEN ; YES NO

POLITICAL PARTY AFFILIATION:

DID YOU VOTE IN THE LAST LOCAL ELLECTIONS; YES NO(why not)

DID YOU VOTE IN THE LAST NATIONAL ELLECTIONS; YES NO(why not)

DO YOU KNOW WHO YOUR ELECTED OFFICIALS ARE: YES NO (why not)

HAVE YOU EVER RAN FOR POLITICAL OFFICE IN THE UNITED STATES: YES NO

IF YES, PLEASE EXPLAIN:

HAVE YOU EVER RAN FOR POLITICAL OFFICE IN ANOTHER COUNTRY: YES NO

WHICH COUNTRY:

WHAT OFFICE:

ARE YOU INTERESTED IN RUNNING FOR POLITICAL OFFICE IN UNITED STATES: YES NO

IF YES PLEASE TELL US WHICH OFFICE:

DO YOU KNOW OF ANY MUSLIM INDIVIDUAL WHO IS HOLDING POLITICAL OFFICE IN THE UNITED STATES: YES NO

IF YES, WHAT IS HIS/HER NAME

WHAT OFFICE, WHAT STATE:

DO YOU KNOW OF ANY MUSLIM INDIVIDUAL WHO IS HOLDING A HIGH POSITION IN THE COMPANY, WHERE THEY WORK: YES NO

IF YES, WHAT IS HIS/HER NAME ,

WHICH COMPANY ,

WHAT IS HIS/HER POSITION,

WHICH STATE: , ADDRESS

THANK YOU FOR YOUR APPLICATION. PLEASE CLICK THE SUBMIT BUTTON TO SEND YOUR APPLICATION TO US. If you have problems using the submit botton, please copy this page and E-mail it to us.