SIJNY | Long Island Center Donation Form

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Please contribute generously towards the purchase of a multipurpose community center in Hicksville | New York

• SIJNY is a registered 501(c)(3) religious organization
• Your donation is tax deductible to the extent allowed by law

Contact Information

Name *

Phone Number *

Address

Preferred Contact Method

Phone

Is this donation in honor or in memory of someone?

if yes, please submit their name/s

Payment Options

How would you prefer to make your donation? *

After submitting your donation form, links for ACH debit setup or recurring credit card charges will be displayed on the next screen.

ACH Bank Transfer

Check (payable to SIJNY)

Credit Card

Cash

Donation Plans

Please choose one or more plans to fulfill your pledge

Plan A | lump sum

One-time payment

None

$500

$1,000

$2,500

$5,000

Other:

Clear selection

Plan B | 12 month installment

monthly payments

None

$210 [Total $2,520]

$420 [Total $5,040]

$500 [Total $6,000]

$750 [Total $9,000]

Other:

Clear selection

Plan C | 24 month installment

monthly payments

None

$210 [Total $5,040]

$420 [Total $10,080]

$500 [Total $12,000]

$750 [Total $18,000]

Other:

Clear selection

Plan D | loan

An interest-free bridge loan for 6 | 12 | 24 month period

None

$10,000

$25,000

$50,000

$100,000

Other:

Clear selection

Questions | Comments

Shia Ithna-Asheri Jamaat of New York

48-67 58th Street | Woodside, NY 11367 | USA
www.sijny.org | text pledges to +1 (516) 430-7977 | email: newproject@sijny.org

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