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Student Fundraising Page Request
First Name
*
Last Name
*
Email Address
*
Please attach a photo for your fundraising page.
Photo should be a minimum of 128x128px. If no photo is attached, a generic Bayan Islamic Graduate School logo will appear.
Dollar Amount Already Raised (If Any)
Will appear on your fundraising page.
Fundraising Goal In Dollars
*
Date To Keep Page Open Until
*
Month
/
Day
/
Year
Display Name for Your Fundraising Page
*
Personal Message For Your Fundraising Page
*
Message should not exceed 120 characters.
Submit