ISCV iPledge form
ISCV is a tax-exempt non-profit organization.
All donations are tax deductible and will be acknowledged by mail.
Tax I.D.# 54-171-6986
For questions/comments: contactus@charlottesvillemasjid.com
Pre-Authorized Monthly Payments.I authorize ISCV to withdraw the pledge of (Recommended amount $30 single, $60 family) *
Your answer
Date of payment monthly payment withdrawal (eg 15th) every month *
Your answer
Number of months to participate (eg 12 months, 24 months) *
Your answer
First and last name *
Your answer
Address: Street, city, state, zip code *
Your answer
Cell phone *
Your answer
email *
Your answer
Bank name *
Your answer
account number *
Your answer
Routing number *
Your answer
Account type *
I authorize Islamic Society of Central Virginia to withdraw monthly payments from my account for the period stated above. *
Submit
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