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If you are a supporter of Imam W. Deen Mohammed and interested in becoming a distributor, please complete the form below and email a copy of your Photo ID to

Tell us: 

  1. Your history in the community

  2. Why you would like to become a distributor 

  3. Current community involvement

  4. References


Upon receipt, we will process your request and contact you with further information.  Contact us for further details at (708) 862-7733 or

Thank you for your submission which will be added to our queue

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