Join Our Database

BIS maintains a database of all Muslims in the greater Birmingham area. This database allows for effective broadcast of news, announcements, and other relevant items of interest to the community. Please help us keep this database beneficial and up-to-date by doing one of the following:

if you are new to the community or have not been added to the database, please use the form below to submit your information for inclusion in the database

if your information has changed or you are moving away or no longer wish to be included in BIS database, please

send us an email

Database

BIS database submission form.

Name*
First Last
Email*
Gender*
- Male
- Female
Are You Married?*
- Yes
- No
Spouse's Name*
If married, please enter your spouse's name.
First Last
Address*
Street Address Address Line 2 City State ZIP Code
Primary Phone*
Contact option*
Let us know how you'd like to receive announcements and updates from BIS. You may choose more than one. For real time announcements, please download our free app, BISApp, available in IOS and Android.
- E-Mail
- Recorded Phone Message
- Text Message
Phone*
Enter the number where you'd like to receive recorded messages.
Cell Phone*
Enter the mobile phone number where you can receive text messages. SMS and data rates may apply.
This field is hidden when viewing the form
Newsletter Option
If you would like to receive BIS' newsletter, BISmillah Vision, let us know your preferred method.
- Electronic (e-mail)
- I do not want the newsletter
CAPTCHA