Islamic Community Center of Des Plaines
480 Potter Road, Des Plaines, IL 60016 Tel:(847)824-1100 Fax:(847)824-9482 Web:www.IslamicCommunityCenter.com

The Islamic Community Center of Des Plaines requests you to join our ACH team. Earn the never ending SAWABE-JARIAH. Please contribute for the construction of the new masjid.
NAME __________________________________
SOCIAL SECURITY # __________________________________
ADDRESS __________________________________
TELEPHONE NUMBER __________________________________
MONTHLY CONTRIBUTION (CHECK ONE) $1000 $500 $ 200 $ 100 $50 $25 OTHER____
BANK NAME __________________________________
ROUTING & ACCOUNT NUMBER __________________________________
(Please attach a void check)