Quba Social Services Food Drive Signup

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Email *

Name (First Last) *

Phone Number *

The food program is funded by Zakah funds from the community. I agree that I am Zakah eligible and would like take opportunity of this food program *

يرجى ملاحظة أن هذا البرنامج يستخدم أموال الزكاة. يرجى التسجيل فقط إذا كنت مؤهلاً للزكاة. --------- براہ کرم نوٹ کریں کہ یہ پروگرام زکوٰۃ کے فنڈز کا استعمال کرتا ہے۔ براہ کرم صرف اس صورت میں رجسٹر کریں اگر آپ زکوٰۃ کے اہل ہیں

Yes ( I agree)

Choose Food Drive Program *

If you wish to register for both programs. Please submit one registration first and then submit another registration for second program.

Food Box Drive (non-perishable groceries)

Serve A Meal Drive (hot meals)

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