COVID-19 Senior Support
We are looking to help Seniors 60+ and/or individuals with compromised immune systems during the COVID-19 Quarantine Period. Please sign up if you are willing to support this cause.

By submitting your name and contact information, you consent to SMC and other affiliate organizations to share your contact information to solicit help to those who need support during this COVID-19 Quarantine Period. Once your contact information is distributed it may not be retractable.
Email address *
First Name *
Your answer
Last Name *
Your answer
Age *
Your answer
Cell Number *
Your answer
Which geographical area(s) are you able to service Seniors/Immunocompromised Individuals *
Required
Which Islamic Center are you most affiliated with *
Your answer
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