YES ! I WANT TO SUPPORT   AMOUD FOUNDATION!
I am sending my donation to help provide food, medical care, and education
□	Scholarship Funds		□	Al Hayatt MedicaL Center			□	Orphan Program
□	Zakat		□	Micro Lending			□	Sponsor School/Teacher
□	Donation $_________		□	Amoud University/Medical Collage			□	HOARF
	Zakat	(Tax deductible donation to Amoud Foundation of Dallas, Texas)
□	$2,500	□ $1,000		□  $ 500		□ $250	□	$100	□  $50	□ Other $ ………..
□	Monthly	___x____			□	One Time _______
Name:______________________________							PAYMENT METHOD
Address: ___________________________							□	Cash	□ Check	□ Credit card
City: ____________ State:					Zip Code:		Credit card Information
							Card No.:____________________________
Tel: H(____)_______________		________	w (____)__________				Expiration Date: _______________________
							Name on the card:______________________
						Automatic Withdrawal
			Signiture:__________________		_______________________			Bank Routing No.____________________
		Donations are tax deductible - Tax ID 75-2882187