close this window
We thank you for your interest in making a contribution to Islamic Relief Malaysia.
When you have completed this form, please print this form and mail it with your donation.
Islamic Relief Donation Form
Yes, I want to help
1. Personal Details
Name:
Address:
City:
Postal code:
E-mail address:
Telephone No.:
-
-
( Int Code - Area Code - No. )
Fax No.:
-
-
( Int Code - Area Code - No. )
2. Donation Details
Donation Categories
Amount to be Donated (RM)
Zakat
(2.5% of wealth)
Zakat-ul-Fitr
Feed the Needy
Sadaqa Jariyah (continuos charity)
Eid Gift
General Fund
Emergency Relief Fund
Orphans Fund
Micro Credit Programme for Single Mother
Appeal Categories
Amount to be Donated (RM)
China Earthquake Appeal
(Latest and most urgent
)
Myanmar Cyclone Nargis Appeal
Middle East Crisis Appeal
Kenya Mosquito Nets Appeal
Sudan Emergency
Nahr Al-Bared Appeal
Bangladesh Cyclone Sidr Appeal
Palestine Gaza Strip Appeal
TOTAL
Note: Please specify the amount and to which appeal that you would like to donate to and upon completing this form click below link to donate.