New Customer Registration Form

AMIC Winter Coat Drive 2024

Help us provide a warm winter coat to those in need (for males only in this campaign) ● Donate a new warm winter coat or donate £40 for us to purchase one on your behalf ● Please choose a size from the list ● Deliver the Winter Jacket to reception at AMIC Central Mosque by Friday 20th December ● Please also donate scarves, hats and gloves ● Only new items accepted ● Contact Imam Mufti Nabiil for more information.
Please note that any old or unsuitable items donated will be sent to Cash for Clothes service on Frederick Street.

Donor Details:
Full Name*

First NameLast Name
Contact Number *
Contact E-mail*
example@example.com
We require following jacket sizes for MALES only - please click on what size you would like to donate:

Small MALE (12 needed please click for one or more)Medium MALE (20 needed please click for one or more)Large MALE(5 needed please click for one or more)XL MALE (3 needed please click for one or more)XXL MALE (4 needed please click for one or more)
4. How many jackets are you donating? Please ensure these are new items that are warm winter jackets with padding.

If you would like to make a donation instead of supplying a new winter coat the mosque can purchase the jacket on your behalf - please make payment here.

WINTER JACKET PURCHASE

£40.00 Quantity

Total

£0.00

Payment Details
First Name	Last Name
Credit Card Number	Security Code
Card Expiration

I confirm that I will donate a new item and drop off to AMIC Frederick Street ABerdeen AB24 5HY or make the donation for AMIC to purchase an item. Any old items or unsuitable items recieved will be deposited to the cash for clothes shop.

I Agree
Should be Empty:

AMIC Winter Coat Drive 2024