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Muslim Community of Western Suburbs of Detroit MCWS

40440 Palmer Rd, Canton, Michigan 48188, USA

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Taekwondo & Judo Classes (Age 5-12) - Fall Classes

02
DEC

03
MAR

Classes Fee:

One Time: $360.00

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Reserved Seats: 0/35

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 Classes

Student name

Age

+ 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 Muslim Community of Western Suburbs of Detroit MCWS 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

Classes Fee

Total Registrants

Total Cost

Acknowledgement

By registering , you acknowledge that you will follow all the instructions provided to you by the Masjid for your and other community member's safety

Muslim Community of Western Suburbs of Detroit MCWS

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Taekwondo & Judo Classes (Age 5-12) - Fall Classes

1 Contact Information

2 Add Registrants

3 Payment

Payment Summary

Acknowledgement

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