Please print out this form and mail to the address below.
Make all checks/money orders payable to:

THREE YEAR ECONOMIC PROGRAM
4855 S. Woodlawn Ave., Chicago, IL 60615
Do not send cash through the mail

(Please Print)


Name:__________________________________________________________



Street Address:____________________________________________________


City: ________________________________State: ______ Zip: _____________

Donation categories and amounts:

Muhammad Farms $_____________  Other Three Year programs $____________

Total Amount: $_________________Check/Money order No.________________

Your canceled check or money order receipt will serve as proof of
your contribution, until you request a Year-End Statement. 


Call (773)924-6514 for more information on the Three Year Economic Program.

If you would like to donate on-line click here->Donate on line

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