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Islamic Cultural Association

35700 W 12 Mile Rd, Farmington Hills, Michigan 48331, USA

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EXPIRED

Ramadan Youth Taraweeh Camp

28
FEB

8:00 PM

28
MAR

10:00 PM

Program Fee:

One Time: $0.00

Reserved Seats: 71/90

1 Parent/Guardian information

First Name *

Last Name *

Phone Number *

Email Address *

Address1 *

Address2

Country *

State *

City *

Zip Code *

Cell Number

2 Add Youth Name

Primary Contact as First Registrant

Registrant Name*

Email Address

Age

Gender

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+ Add More Registrants

3 Payment

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

Payment Method

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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 Cultural Association 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

Islamic Cultural Association

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Ramadan Youth Taraweeh Camp

1 Parent/Guardian information

2 Add Youth Name

3 Payment

Payment Summary

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