Program Registration ~ MOHID ©

Masjid Omar bin Abdul Aziz

955 Harbins Rd, lilburn, Georgia 30047, USA

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Registration Open

Sunday Islamic School Aug 2026-May 2027

16
AUG

11:00 AM

16
MAY

2:00 PM

Program Fee:

One Time: $350.00

Offering Days: Sunday

Reserved Seats: 0/200

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

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If your child has medical condition or allergy, plz specify.*

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3 Payment

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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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 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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Payment Summary

Program Fee

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Total Cost

Masjid Omar bin Abdul Aziz

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Sunday Islamic School Aug 2026-May 2027

1 Contact Information

2 Add Registrants

3 Payment

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