Formular za prijavu

Ljetna škola islama
Juli 21 - August 3, 2015.
APLIKACIJA/APPLICATION FORM
Učesnik/Participant
Ime /First Name: ................................................... Prezime/Last Name: ...................................................
Datum rođenja/Date of Birth: .......................................................................................................................
Adresa (USA): ......................................................................................................................................................
E-mail: ......................................................................................... Phone: (1)......................................................
Potpis/Signature (18+): .....................................................................................................................................
Roditelj-Staratelj/Parent-Guardian
Ime /First Name: ................................................... Prezime/Last Name: ...................................................
Datum rođenja/Date of Birth: .......................................................................................................................
Adresa (USA): ......................................................................................................................................................
E-mail: ......................................................................................... Phone: (1)......................................................
Potpis/Signature: ................................................................................................................................................
Rok za apliciranje: April 30, 2015.
Za više informacija o Ljetnoj školi kontaktirajte koordinatore:
 Hfz. Muriz ef. Mešić (Chicago) - [email protected] | (1)773.290.4577
 Alija Džekić (St. Louis) - [email protected] | (1)636.284.5208)
Islamska Zajednica Bošnjaka Sjeverne Amerike | Islamic Community of North American Bosniaks
13246 N. 23rd Ave Phoenix, AZ 85029 | Tel. (1)602-761-9881 | Fax: (1)602-761-9884 | www.icnab.com