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ICNA Center - Maryam Masjid

3764 Ellis St., Corona, California 92879, USA

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Halal Food Festival - Pre Order Sale Setup

12
SEP

11:00 PM

12
SEP

7:00 PM

Program Fee:

One Time: $50.00

1 Contact Information

First Name *

Last Name *

Phone Number *

Email Address *

Address1 *

Address2

Country *

State *

City *

Zip Code *

Cell Number

2 Add Registrants

Primary Contact as First Registrant

Registrant Name*

Email Address

Age

Gender

Choose Program

Business Name*

+ Add More Registrants

3 Halal Food Festival - Pre Order Sale Setup

Monthly Recurring

Recurring Start Date*

Number of Months*

For Lifetime

Please note: You will incur a $1 charge if the recurring start date is not current date in order to verify the payment details provided. This charge will not be credited back to your account and you will receive a test transaction receipt for this amount.

Promotion Code Promotional Price Applied

Since you purchased free Ticket No Payment Required.

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Name on Credit Card *

Credit Card Number*

Expiry Date*

CVV Code*

Bank Name

Name on Account *

Account Number*

Routing Number*

Account Type*

Consent * Do you give ICNA Center - Maryam Masjid consent to authorize electronic fund transfer from the account specified for this transaction in the amount specified.

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Payment Summary

Program Fee

Total Registrants

Total Cost

ICNA Center - Maryam Masjid

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Halal Food Festival - Pre Order Sale Setup

1 Contact Information

2 Add Registrants

3 Halal Food Festival - Pre Order Sale Setup

Payment Methods

Or

Payment Summary

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