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Islamic Society of Annapolis
Pledge Form / Donation Form
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Name
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Email Address
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Street Address
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City, State, Zip
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Phone:
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Select Payment
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Check
Credit Card
Cash
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Donation Type
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Choose
Fundraiser 2021
Fitrana
General Fund
New Building
Zakat
Donation Amount
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Payment Type
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Recurring Monthly
One Time
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Mastercard
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American Express
Card Number:
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Card Exp Date:
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CVV:
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Checking Account Number
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Checking Routing Number
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DECLARATION: I hereby authorize the Islamic Society of Annapolis to charge my account stated above. This donation will be used for ISA Masjid. I agree to maintain sufficient funds in my account to cover any such debit upon presentation.
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I Agree
Donor Signature
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Date
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