Give Every Month (GEM) Form

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Setup recurring monthly payment as a GEM donor.

* Indicates required question

First Name *

Your answer

Last Name *

Your answer

Email Address *

Your answer

Phone # *

Your answer

Full Address *

Example: 123 Street Name, City Name, ST 54321

Your answer

I dedicate this donation to

Your answer

Monthly Donation *

Select your monthly donation amount

$250

$100

$50

$25

$10

Other:

Payment Option *

Credit / Debit Card

Checking / Saving Account

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This form was created inside of EASTERN TWIN CITIES ISLAMIC CENTER.

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