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Masjid Omar bin Abdul Aziz

955 Harbins Rd, lilburn, Georgia 30047, USA

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Hifzul Quran Re-enrollment for 2024-2025

22
JUL

8:00 AM

24
MAY

2:00 PM

Program Fee:

One Time: $50.00

Offering Days: Monday, Tuesday, Wednesday, Thursday, Friday

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Reserved Seats: 32/100

1

First Name *

Last Name *

Phone Number *

Email Address *

Address1 *

Address2

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City *

Zip Code *

Cell Number

2

Primary Contact as First Registrant

Registrant Name*

Email Address

Age

Gender

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3

Payment Method

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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*

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.

Consent * Do you give Masjid Omar bin Abdul Aziz consent to authorize electronic fund transfer from the account specified for this transaction in the amount specified.

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Masjid Omar bin Abdul Aziz

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Hifzul Quran Re-enrollment for 2024-2025

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