Wire Transfer/Direct Deposit - Tax Receipt Claim
Please fill in this form after donating via wire or direct deposit. If you do not, we can not send you a tax receipt for your wire transfer.
Email address
First Name
Your answer
Last Name
Your answer
Phone Number (with area code)
Your answer
Date of Transfer/Deposit
MM
/
DD
/
YYYY
Amount Donated
Your answer
Your Bank's Name
Your answer
Currency
Was your donation Zakat or Sadaqa?
Last 4 Numbers of your Account Number
Your answer
Transaction Reference Number
Your answer
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