Monthly Donation Form

Step #1: Contact Information

Full Name:

Email Address:

Phone Number:

Step #2: Donate

Item

Price

Monthly payments of $10

1 Brick for Queenstown Masjid (PP)

Monthly payments of $20

2 Bricks for Queenstown Masjid (PP)

Monthly payments of $30

3 Bricks for Queenstown Masjid (PP)

Monthly payments of $50

5 Bricks for Queenstown Masjid (PP)

Monthly payments of $100

10 Bricks for Queenstown Masjid (PP)

Large Call to Action Headline

Item

amount

Dynamically Updated

$XX.00

Complete Donation

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