Form | Free Al-Aqsa On-Going Contribution


  • Free Al-Aqsa On-Going Contribution Form
    ('Download' if you wish to fill out the form offline and mail it by post. Please right-click your mouse on the link and then click 'save as' or 'save link as'.)
  • To participate in the Free Al-Aqsa On-Going Contribution Program, please fill out the form below and click "Send Form"


    •  
    * Name:
     
    * Address:
     
    Tel. (Home):
     
    * Tel. (H/P):
     
    * Email:
     
    With a full awakening to the suffering of the Palestinians and the liberation of the Al-Aqsa Mosque, I hereby pledge to donate money by the amount of:
     
    * Amount:
     
    If other, please specify:
     
    Bank-in Date:
     
    Bank:



    IMPORTANT:

  • Payment can be made by banking in to the following accounts either online or at the bank:
    Bank Islam Malaysia Berhad: 12029010047880. (online)
    Maybank Malaysia Berhad: 562263010787. (online)

  • Please fill out the above form and attach the deposit slip to this form.

  • Please make sure that you have banked in your payment first before filling out the form.

  • To attach your deposit slip, you may first:
    • Scan the deposit slip if you have banked in at the bank.
    • Copy the content of the deposit slip, emailed to you by the bank, and paste it into Office word or notepad if you have banked in online.



      • For those of you who have banked in the appropriate amount,
      please attach below a copy of the deposit slip, scanned or in other formats such as .doc and .txt.


      Attach your file:  



      Fields marked with * must be filled.



Your Views    Friends of Al-Aqsa
Palestinian Fund
Officially launched by the Yang Di Pertuan Agong of Malaysia on 8 September 2009.
Contribution And Donation Fund
Bank Islam (M) Berhad: 12029010047880
Maybank (M) Berhad: 562263010787
Management Contribution Fund
Bank Muamalat (M) Berhad: 12070005133717
For contributions in the form of saleable goods to be channeled to the Palestine fund, you may contact the office for more information.
Any MOU, agreement, joint venture & cooperation contributable to the value that can be utilized by the Palestinian people and to the cause of their freedom is most welcomed with wide open arms. Only Allah alone can repay your kindness.