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Sign Up for Debit Orders

Through a debit order donation, your support can help us with a consistent flow of income to run our organisation

Debit Order Submission

Please complete the form to sign up for a debit order!

First Name

Last Name

Date of Birth

Email Address

Phone

Select an Address

Debit Order Start Date

Account Holder Name

Account Number

Branch Code

ID Number

Lillah (Running of Masjids)

Zakaat (Food Vouchers)

Sadqah (Food Vouchers)

Please debit from my account the amount entered above. I hereby request, 'instruct' and authorise theorganistion to draw against my account with the abovementioned bank stipluated amount. I understand that such withdrawals from my bank account by you shal be treated as though they had been signed by me personally. I understand that withdrawals will be processed throuh a computer system. The authority may be cancelled by me giving you thirty days notice in writing

Your Signature

Jazakallah for submitting! We will email your debit order confirmation! May Allah accept your donation

Sign Up for Debit Orders

Debit Order Submission

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