Alrasool
Islamic Center
Donor Information (please print or type)
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Name |
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Address
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E-Mail
address |
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Phone (home):__________________
Phone (mobile):____________________
Pledge
Information
I pledge a total of $____________________ to be paid: now
monthly quarterly yearly.
I plan to make this contribution in
the form of: cash check credit card other.
I wish
to have our pledge/gift remain anonymous.
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Signature:
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Date |
Please
make checks or other gifts payable to: Alrasool
Islamic Center
5311 Stage Road