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Islamic Society of Wichita

6655 E 34th ST N, Wichita, Kansas 67226, USA

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Sunday School - Additional Sibling

14
JAN

10:00 AM

19
MAY

2:00 PM

Program Fee:

One Time: $75.00

Offering Days: Sunday

View Details

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 FULL Name*

Father's FULL Name*

Mother's FULL Name*

Student's Age*

Address*

Parent's Phone #*

Parent's Email*

+ Add More Registrants

3 Payment

Payment Method

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 Islamic Society of Wichita consent to authorize electronic fund transfer from the account specified for this transaction in the amount specified.

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Since you purchased free Ticket No Payment Required.

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Payment Summary

Program Fee

Total Registrants

Total Cost

Islamic Society of Wichita

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Sunday School - Additional Sibling

1 Contact Information

2 Add Registrants

3 Payment

Payment Summary

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