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Islamic Society of Addison

1000 N Rohlwing Rd, Addison, Illinois 60101, USA

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A Kids Guide to Making Sense of Islam: Why are we Muslim? (Boys & Girls)

15
AUG

1:15 PM

12
DEC

2:30 PM

Program Fee:

One Time: $100.00

Monthly: $25.00 (Number of Months: 4)

Offering Days: Saturday

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

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Second Parent Name *

Second Parent Number *

Second Parent Email

(Required) I agree to the liability waiver mentioned below*

Attending onsite or online?*

+ Add More Registrants

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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Credit Card Number*

Expiry Date*

CVV Code*

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Account Number*

Routing Number*

Account Type*

Consent * Do you give Islamic Society of Addison 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

Acknowledgement

By submitting this registration, I acknowledge that I am registering myself and/or my child(ren) (if applicable). I voluntarily assume the risks associated with participation and release and hold harmless Masjid Isa (Islamic Society of Addison NFP), its board members, officers, employees, volunteers, and agents from any and all liability arising from participation in the program, to the fullest extent permitted by applicable law.

Islamic Society of Addison

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A Kids Guide to Making Sense of Islam: Why are we Muslim? (Boys & Girls)

1 Contact Information

2 Add Registrants

3 Payment

Payment Methods

Or

Payment Summary

Acknowledgement

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