Application for Zakat / Fitrah

ISLAMIC CENTER OF LONG ISLAND

835 Brush Hollow Road Westbury, New York 11590

Phone:(516) 3333495   Fax:(516) 342-3703   Email:info@icliny.org

APPLICATION FOR ZAKAT / FITRAH 

(PLEASE FILL ALL THE REQUIRED FIELDS)

* Incomplete Applications Will be Declined*

* Copy of picture ID with Full Name and Address and Phone Number must be included with this application, otherwise form will not be processed *

Email a picture of your ID to: info@icliny.org