Iraqi American Association of North Texas

Forms

Sorry, we are not ready to process Credit Card payment at this time, so please download FORM. Fill it up and send it with your check to:
IAANT
Attn: AJ Kadhim
13524 Quarry Trace
Euless, TX. 76040

Or simply hand it to one of our board members.
Our headquarter office is located at:
13524 Quarry Trace
Euless, TX. 76040

IRAQI AMERICAN ASSOCIATION OF NORTH TEXAS

www.iaant.org

 

 

MEMBERSHIP FORM

(Please fill out all areas and mail back to IAANT, so we can update your information)

IAANT MAILING ADDRESS: 13524 Quarry Trace
Euless, TX. 76040

Membership Categories

Student: $20.00 

Silver: $250.00

Single: $35.00 

Gold: $500.00

Family: $50.00   

Corporation: $1000.00

Mr.  Mrs. Ms.
       First Name:
       Last Name:
           Address:
City, State, ZIP:
             Phone:
 Email Address:
     Occupation:
Credit Card Payment  MASTER VISA
   Card Number:
Expiration Date:
  Name on Card:
     3 Digit CV#: