ABUBAKAR ISLAMIC CENTER OF LOUISVILLE INC.

!!!!ISLAM IS A FIVE STAR LIFE WITH NO LIMIT!!!!!

        PRINT AND FILL THIS FORM TO DONATE:

              

 PLEASE COPY AND PRINT THE FORM BELOW


ABUBAKAR ISLAMIC CENTER OF LOUISVILLE INC.

1536 S. 7TH STREET

LOUISVILLE, KENTUCKY 40208

PHONE: 502-442-1718, 502-500-5127 OR 502-408-4587

WWW.AICL.WEBS.COM  OR E-MAIL: ABDIKADIR100@YAHOO.COM


DONATION TO ABUBAKAR ISLAMIC CENTER OF LOUISVILLE INC.


print your name clearly


I__________________________ Here by Donating $______________ to


ABUBAKAR ISLAMIC CENTER OF LOUISVILLE INC.


BY Filling the form below you are 100% accepting the Abubakar Islamic Center of Louisville Inc. to Charge your Credit/Debit Card on the above showing Amount, and you understand that you are not Paying this amount for Purchase, you are Paying it for Charity reason and AICL will not use your Information for other purposes.


Thanks for your Donation Please Fill the Blank Spaces Below to Complete your donation.


Please indicate Your Name as Shown on your Credit/Debit Card


First Name :__________________________ MI:______

Last Name:__________________________


Billing Address:


Address:_________________________Apt#:____City:_______________

State: ___________Zip-code:________________


PHONE:(______)_______ ___________

CELL:(______)_________ ___________



CREDIT CARD INFORMATION


Credit/Debit Number:____________________Exp..______/_______ SC: _________

Card type :


Please Select one


__DISCOVERY __AMERICAN EXPRESS __VISA __MASTER CARD


E-MAIL ADDRESS :______________________________________

CONFIRM YOUR E-MAIL:__________________________________


By: Signing and Sending this Form you have read and Understood the top Agreement of the form and willing to donate the amount showing above, if you Agreed please Sign the Form and Send it to the above Address , and if you need to donate with Money Order or Check fill it out Correctly and >


"PLEASE SEND YOUR CHECK, OR MONEY ORDER, TO THE ABOVE ADDRESS


Must be your name

First ____________________Last_____________________


SIGNATURE :_______________________________________


mm/dd/yyyy hh/mm/ss

Date:______/_______/_______ Time:_____:_____:_______ Am/Pm


AFTER YOU COMPLETE PLEASE SENT THIS FORM TO THE ABOVE ADDRESS, AND THANKS AGAIN FOR YOUR DONATION.


This Form is for donation only and can not be used by some other Purposes, 

[This form is for Abubakar Islamic Center of Louisville use only.]

http://www.aicl.webs.com Tel:502-442-1718 502-500-5127

THANKS FOR VISITING OUR WEBSITE AND PLEASE DON'T FORGET TO DONATE (THANKS)

UPCOMING EVENTS

No upcoming events