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Islamic Centerof Muncie

Apply for Zakat Assistance

Please complete the form below to apply for emergency financial assistance.

Important Information

This application includes personal and confidential information intended only for authorized personnel for evaluation of Zakat/Sadaqah requests. All information will be kept strictly confidential. Please allow at least one week for review.

Zakat Assistance Application

Personal Information

Household Information

Assistance Request

References

Please provide at least 2 references (name and phone number)

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