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REQUEST A NEW MUSLIM CERTIFICATE

Please fill out the form to request for a New Muslim certificate.

We will get in touch with you soon, in shaa Allah.

NEW MUSLIM CERTIFICATE REQUEST FORM

First Name

Last Name

Email

Phone

Gender

Brother

Sister

Date of Birth

Address/place of Shahadah

Date of Shahadah

Please send my certificate to the following address:

Street Address

Street Address Line 2

City

Region/State/Province

Postal / Zip code

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Any other messages

Thank you for your request. We will be in touch soon!

ABOUT US

ADDRESS

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With the promotion of goodwill, tolerance, unity and understanding, Masjid Bilal serves the Muslim and non-Muslim community in the Lexington metro area. We are a non-profit, religious, charitable, educational, and non-political organization.

1541 RUSSELL CAVE RD.
LEXINGTON, KY 40505

Phone: (859) 233-4827

https://www.masjidbilalky.org

© 2023 Masjid Bilal, Lexington, KY

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