New Keyfob FormPlease enable JavaScript in your browser to complete this form.Please enable JavaScript in your browser to complete this form.ISLAMIC CENTER OF JOHNSON COUNTY (ICJC) KEY FOB DISTRIBUTION POLICY AND AGREEMENT 9005 W. 151ST ST. Overland Park, KS 66221 This agreement applies to all buildings on the premises of the Islamic Center of Johnson County. Phone numbers may be used for emergency contact or messages. Email will be added to ICJC group email so you are able to receive alerts and announcements. By filling out this form, I agree to adhere to the following rules set forth by the ICJC: 1. The key is not transferable and is the property of ICJC. 2. I will pay a non-refundable fee of $10/year for service fee per key 3. I am responsible for the key and its use. 4. I will be vigilant upon entering the premises and will only allow people I know into the building. 5. I will not prop open any doors and ensure the door shuts behind me upon entrance or exit. 6. I will do my best to ensure the building is secure as I depart the building. 7. I will notify the Board of Trustees or Facilities Manager immediately if my key(s) is lost or stolen. 8. I will surrender my key(s) to ICJC upon request or when it is no longer needed 9. Management can program the keys they consider fit for the security of the premises 10. Whoever enters the masjid should scan their fob for their safety. 11. Keys will only be issued to Muslims living in the Kansas City Metro or Johnson County. City must be listed on Drivers License. Please go to Br.Syed Imtiaz (913) 568-5545 after filling out this form to receive your key fob. ***AFTER ISHA PRAYER** Agreement *I agree to the above policy and agreementCheckbox 1 *I understand that my access to enter the masjid can be taken away if I do not adhere to the safety procedures above.Name *FirstMiddleLastAddressAddress Line 1Address Line 2City--- Select state ---AlabamaAlaskaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaOhioOklahomaOregonPennsylvaniaRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahVermontVirginiaWashingtonWest VirginiaWisconsinWyomingStateZip CodeEmail * Number of Collor/Make/Model Phone Number *Date of Birth *Car Collor/Make/Model *Ex: Grey/Toyota/CarollaLicense Plate Number *License Plate State *2 Letters OnlyDrivers License Upload * Drag & Drop Files, Choose Files to Upload Valid US Government Issued ID onlyReason for KeyfobNew Community MemberI have a Key from another masjid, just need to be programmed.Lost KeyfobExtra KeyfobTotal$0.00Stripe Credit Card *Submit