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MAS Center - Elk Grove

3155 Dwight Road, Elk Grove, California 95758, USA

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Registration Open

5th Annual Quran Quest

02
MAY

9:00 AM

02
MAY

8:00 PM

Program Fee:

One Time: $125.00

Offering Days: Saturday

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Reserved Seats: 1/80

1 Team Contact Person

First Name *

Last Name *

Phone Number *

Email Address *

Address1 *

Address2

Country *

State *

City *

Zip Code *

Cell Number

2 Team Information

Primary Contact as First Registrant

Registrant Name*

Email Address

Age

Gender

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Team Name*

Which Level of competition will your team be entering?*

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3 Team Registration Fee

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.

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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 MAS Center - Elk Grove 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

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Total Cost

MAS Center - Elk Grove

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5th Annual Quran Quest

1 Team Contact Person

2 Team Information

3 Team Registration Fee

Payment Methods

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Payment Summary

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