Donation Form



1. Donation for:

Zabiha Project
Ramadan Chicken
Khairat Chicken

2. Delivery Option:

GTA
Ottawa

3. Donor Information:

Name of the donor:
Sacrifice in the name of:
Address:
City:
Province:
Area Code:
Telephone:
E Mail:

4. Payment Options:
By Cheque:
Please make cheque payable to MuslimServ Inc. and mail it to;

MuslimServ Inc.
13 Grouse Lane
Brampton, ON
L6Y 5L1

By Credit Card
Only the following cards are accepted

Name of the card Visa
Master Card
Card Holder:
Card Number:
Expiry Date:
Last 3 digits on the back: