ACH Donation Form

We invite you to join us in seeking the pleasure of Allah ﷻ. Whether through prayer, learning, or serving the community, may we all strive for sincerity and righteousness.

ACH Donation Form

Name

First

Last

Phone number

Account name Donation

Preferred Contact Method

Phone
Email

Address

Address Line 1

Address Line 2

City

State

Zip Code

Account Information

Bank name

Account Type

Account Number

Routing Number

Donation Amount

Frequency

Click To Accept

Agree

By accepting this, I authorize Masjid Al-Haqq, under the Proclaim Truth Charitable Trust, to debit the amount entered above from my bank account on the date entered in this form. This authorization will remain in effect until I provide written notice to cancel.