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ICCD

480 Potter Rd, Des Plaines, Illinois 60016, USA

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ICCD Girls Hifz Summer Camp 2023

10
JUL

10:00 AM

10
AUG

1:15 PM

Program Fee:

One Time: $200.00

Offering Days: Monday, Tuesday, Wednesday, Thursday

View Details

Reserved Seats: 7/25

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

Student First Name*

Student Last Name*

Student Date of Birth*

Student Grade

Does your child have any allergies or medical conditions

Parent First Name*

Parent Last Name*

Relationship to Student*

Contact Phone*

Home Address*

Is your child already enrolled in ICCD Islamic School?

+ Add More Registrants

3 ICCD Girls Hifz Summer Camp 2023 Registration Fees

You can help save us on credit card transaction fees by selecting the eCheck/ACH option. Jazak'Allah!

Payment Method

eCheck/ACH titleIcon

Credit/Debit Card

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 ICCD consent to authorize electronic fund transfer from the account specified for this transaction in the amount specified.

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Promotion Code Promotional Price Applied

Since you purchased free Ticket No Payment Required.

Comments

Payment Summary

Program Fee

Total Registrants

Total Cost

Acknowledgement

By registering , you acknowledge that you will follow all the instructions provided to you by the Masjid for your and other community member's safety

ICCD

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ICCD Girls Hifz Summer Camp 2023

1 Contact Information

2 Add Registrants

3 ICCD Girls Hifz Summer Camp 2023 Registration Fees

Payment Summary

Acknowledgement

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