donation form – Al Hira Institute

account@al-hira.org

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Your Donation

$10.00 This is a slightly larger donation.

$30.00

$50.00

$100.00

Custom amount

Details

First Name *

Last Name *

Email *

Address

Address 2

City

State

Postcode

Country

Phone Number

Payment

Choose Your Payment Method

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Name on Card *

Credit/Debit Card

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