Program Registration ~ MOHID ©

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Summer Quran Session

29
JUL

21
AUG

Program Fee:

One Time: $150.00

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Reserved Seats: 9/45

1 Parent Name (First & Last)

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Last Name *

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Email Address *

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Address2

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2 Child Name (First & Last)

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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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Summer Quran Session

1 Parent Name (First & Last)

2 Child Name (First & Last)

3 Payment

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