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Donation / Pledge Form

The Mosque and its services are supported by your general donations. Please be generous with your donations and continued support. May HE reward you and may HE forgive us, protect us and guide us to the path of those HE is pleased with.

Telephone:   Email:   
State:  Zip:  

To allow for proper spending and accounting of moneys, please mark donation as:

 Funds used for all Mosque upkeep and expenses.
 Funds used for education & school purposes
     (taken around the 5th of each month)


If making a monthly pledge, please fill out the following information and attach a voided check or deposit slip:

Bank Name:  Routing Number: 
Account Number: 

I hereby give permission to my bank to transfer the above amount each month of the East Texas Islamic Society. I understand that this authorization will remain in effect until I send a signed, written request of ETIS asking to change or end this agreement. I have attached my voided check or deposit slip with this form.

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