Zakah Recommendation Form

Please complete the form below to recommend that a beloved in your community receive a portion of the zakah we collect this year. Thank you and Jazakallah khayr (may Allah bless you).

"*" indicates required fields

Tell Us About You

Your Name*

First Sufi Last

Your Phone*

Your Email*

Your Region*

Tell Us About Who You're Recommending

Recipient Name*

First Sufi Name Last

Needs Include:*

Select all that apply

Medical/Health

Shelter

Food

Clothing

Other

How are the funds to be disbursed?*

Zelle (fast option with no fees)

PayPal (fast option with fees, so they receive less)

Check (slow option with no fees)

If you have selected Zelle or PayPal you MUST include the phone numbeer and/or email associated with the beloved's Zelle or PayPal account. If you do not include this information we cannot send out the zakah.

Phone No Associated with Zelle or PayPal Account

Email Associated with Zelle or PayPal Account

Recipient Mailing Address*

Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country

Phone*

Email*

Comments

This field is for validation purposes and should be left unchanged.

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Tell Us About You

Tell Us About Who You're Recommending

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