MAIL-IN
DONATION FORM:(Please
print, complete and return with your check to the address below.)
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I
would like to make a contribution to support the ongoing work of Manassas
Mosque
& Islamic-city.com. |
Enclosed
please find my gift of:
$20__$35 __$50 __$75 __$100 __$500 __$1000 _____Other $ ________
Name: ____________________________________________________
Street: ____________________________________________________
City: _____________________ State/Province:_____ Zip:____________
Email: _____________________________
Country: ________________
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| Please
make your check payable to: Manassas Mosque
and mail it with this form to:
Manassas Mosque
12950 Center Entrance Ct.
Manassas, VA 20109 |
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| Privacy
Statement:We respect our supporters privacy. Information provided by
you will never be sold, rented, exchanged or otherwise disclosed to
any other organization. |
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| Contributions
to Islamic-city and Manassas Mosque are tax-deductible. (Tax ID #54-1704080
)
Please select the box if you
would like a tax deduction receipt.
Tax
Deduction Receipt
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