AI Mabarrat

313 582-5553

AL-MABARRAT CHARITABLE ORGANIZATION SPONSORSHIP APPLICATION

First Name *

Last Name *

Home Phone Number *

Email *

Cell Phone Number *

Date *

Address *

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Zip *

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How would you like to pay? *

Monthly ($42)

Annually ($500)

Bi-annually ($250)

Quarterly ($125)

Would you like to receive bills? *

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