ISM Fundraising Iftar Reservation Form

First Name *

Last Name *

Address

Phone *

Email Address

How many adults will be attending? *

So that we can provide proper childcare , please let us know many children (those under 11) will be attending:

	Number
Ages 2, 3 and 4	Number
Ages 5, 6 and 7	Number
Ages 8, 9 and 10	Number

Please note that there will be a special ISM CORE Ramadan program and IFTAR for youth (11-16) that will be held at the ISM Center Hall and Gym at the same time as the fundraising dinner. (They will be served the same food that is being served at the fundraising dinner).

How many of your children/youth (age 11-16) will be attending the special program at the ISM Center Hall/Gym?

	Number
Ages 11-16	Number

May Allah (SWT) reward you in this life and the hereafter for your generous donation and may Allah (SWT) bless you and your family during this most blessed month of Ramadan.

This program is a FUNDRAISING program to support the ISM and all of its activities.

Due to the limited space available at the Crowne Plaza, we are requesting

a minimum family donation of $500.

We thank and appreciate all donors, regardless of the amount of their donatiion.

We ask Allah (SWT) to bless and reward all those who donate for the cause of Allah.