Muslim Volunteers for New York Donation Form

Photos are for illustrative purposes only, indicating an approximation of the number of food items and people served by each package. Please select one or more meal packages to donate from the menu below, indicating the quantity of each package desired in the boxes below. You may also make a custom donation by indicating the amount in the appropriate box below.

Indicate the number of packages you would like to donate in the boxes below.

	Lunch for a Day $15
	Lunch & Dinner for a Day $30
	Meals for the Weekend $50
	Lunch for a Week $75
	Lunch & Dinner for a Week $100
	Meals for a Month $350

Make a custom alternate or additional donation by filling in the dollar amount below:

Custom Alternate/Additional Dollar Amount

Please indicate how you would like your custom alternate/additional donation to be used: *

No additional donation, only packages above

MV4NY Thanksgiving Food Drive

CMOW Halal Meal Delivery

MV4NY General Fund

TOTAL donation amount

$0.00

Donor Contact Information

First Name *

Last Name *

Date of Donation * +

Email Address *

Zip Code *

Phone Number *

How did you hear about us?

Would you like to be added to our mailing list? *

Yes, please

No, thank you