Donation Pledge

Monthly Pledge for House of Allah

“The example of those who spend their wealth in the way of Allah is like (that) grain out of which seven ears shoot forth. (And then) each ear bears a hundred grains (i.e., they are rewarded seven hundred times). And Allah multiplies (still more) for whom He likes. And Allah is infinite, all-knowing.” Holly Quran [ Al Baqarah 2:261]

* Required

First Name

Last Name

Phone

Address

City

Postal Code

Donation Pledge

Pledge Amount

Frequency

Payment Method

Starts On

Ends On

Ends On Date

End After Occurances

No End Date

Financial Institution

Consent to Release Information to Bank

I hereby consent to the processing of my bank account details that I have provided and declare my agreement with My Demo Mosque to auto deduct my pledge for the frequency and period provided here.

Bank Code or Name

Bank Branch, Transit or Routing Number

Bank Account Number

Attach Void Cheque To validate the bank information, please take a picture of your void cheque and upload here or email us at info@MosqueAssistant.com

Referred By

Verification input in lowercase is acceptable.

Input symbols

Cancel