Support for Masjid Roof project ~ MOHID ©

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Category	Description
Annual Fundraising 2023	Masjid Al Nur Annual Fundraising 2023

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Amount *

Frequency

One Time Monthly Daily

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Last Name *

Phone Number *

Email Address *

Address1 *

Address2

Country *

State *

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Zip Code *

Cell Number

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 Center Of Olympia consent to authorize electronic fund transfer from the account specified for this transaction in the amount specified.

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