This document is a pledge/donation form for the Islamic Information Center (Masjid Al-Noor) located in Las Vegas, Nevada. It provides the nonprofit and tax ID information for the organization and outlines different levels of donations from platinum to copper. It details methods for making donations including checks made out to the Islamic Information Center, electronic transfers with provided bank account information, and credit card donations with a section to fill in card details. The form also allows for pledging donations over time with a signature and date.

1. PLEDGE/DONATION FORM
Islamic Information Center (Masjid Al-Noor)
1610 E Russell Rd.
Las Vegas, NV 89119
NON-PROFIT ORGANIZATION FED ID: IRS Code 501 (C) (3), Tax ID 42-1597284
ALL DONATIONS ARE TAX-DEDUCTIBLE
Donor’s Name: ______________________________________
Address: ________________________________________________________________
Phone: ___________________ Email:_________________________________________
Donation: $_____________
Levels of Giving (please check one)
Platinum $1,000,000+
Gold $250,000 - $1,000,000
Silver $75,000 - $250,000
Bronze $20,000 - $75,000
Copper up to $20,000
Donation Methods:
CHECK
All checks should be made payable to the: “Islamic Information Center,” writing “Masjid
Al-Noor Donation” in the memo.
Please mail checks to the following address:
Islamic Information Center
P.O. Box 97164
Las Vegas, NV 89193

2. ELECTRONIC TRANSFER
For Electronic Transfer Donations, Use the following bank information:
Account Name: Islamic Information Center
Bank Account #325061957424
Routing # 121000358
Bank: Bank of America
CREDIT CARD
Circle One:
Visa
Master Card
American Express
Discover
Credit Card#: ___________________________
Exp: __________________ CVV: ___________________
Billing Address of CC:
Address ______________________________________
City/State: ________________________________
Zip Code: _________________
Should you choose to pledge your donation, please fill out the information below.
Pledge: $______________(amount).
Signature:_________________________________________ Date:_______________
“Wealth is not diminished by charity”
-Hadith
JAZAKALLAHU KHAIR!