Program Registration ~ MOHID ©

Muslim Society Inc

1785 Bloomingdale Rd, Glendale Heights, Illinois 60139, USA

Home

Donations Tickets Pledge Program Registration Membership Signup Member Login

MSI Summer School (Boys & Girls)

24
JUN

10:00 AM

01
AUG

1:00 PM

Program Fee:

One Time: $250.00

Offering Days: Monday, Tuesday, Wednesday, Thursday

View Details

1

First Name *

Last Name *

Phone Number *

Email Address *

Address1 *

Address2

Country *

State *

City *

Zip Code *

Cell Number

2

Primary Contact as First Registrant

Registrant Name*

Email Address

Age

Gender

Choose Program

Allergy Information*

Alternate Contact Phone*

Emergency Contact Phone*

+ Add More Registrants

3

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

Agree Decline

Promotion Code Promotional Price Applied

Since you purchased free Ticket No Payment Required.

Comments

Payment Summary

Program Fee

Total Registrants

Total Cost

Muslim Society Inc

homeHome

MSI Summer School (Boys & Girls)

1

2

3

Payment Summary

Home