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Category Selected: Food Pantry Donation

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Category	Description
OCS Donation	2 dollars per ticket

Choose an Amount or Enter Custom Amount

Amount *

Frequency

One Time Monthly

First Name *

Last Name *

Phone Number *

Email Address *

Address1 *

Address2

Country *

State *

City *

Zip Code *

Payment Method

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Credit/Debit Card

Name on Credit Card *

Credit Card Number*

Expiry Date*

CVV Code*

Bank Name

Name on Account *

Account Number*

Routing Number*

Account Type*

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Monthly Recurring

Recurring Start Date*

Number of Months*

For Lifetime

Please note: You will incur a $1 charge if the recurring start date is not current date in order to verify the payment details provided. This charge will not be credited back to your account and you will receive a test transaction receipt for this amount.

Consent * Do you give Islamic Society of Orange County consent to authorize electronic fund transfer from the account specified for this transaction in the amount specified.

Agree Decline

Is Donation for Event EID Prayer Expenses

Comments

Islamic Society of Orange County

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