Northwest Islamic Community Center

Northwest Islamic Community Center

3300 Plymouth Blvd, Plymouth, Minnesota 55447, USA

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1. Member Information
2. Membership Information
3. Summary & Payment

Primary Member Infomation

Create a Login Id
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Please note: Credit/debit card payments will incur a fee of 3.25% + $0.29 of the transaction amount. ACH and E-check payments do not include this fee.
Note:

Please note: Credit/debit card payments will incur a fee of 3.25% + $0.29 of the transaction amount. ACH and E-check payments do not include this fee.

Create a Login Id
date_range
Please note: Credit/debit card payments will incur a fee of 3.25% + $0.29 of the transaction amount. ACH and E-check payments do not include this fee.
About Membership:

In Case of No, Only Primary Member will be enrolled in Selected Membership Type.

Membership Start Date:

Membership End Date:

Membership Join Date:

Member(s) Information:
Name Phone Email Address Relation Gender Date of Birth Marital Status Native Country Citizenship Type
Children Detail(s):
Name Phone Email Year of Birth
Membership Detail(s):
Membership Type:
Validity:
Membership Start Month Membership Join Date Membership End Date
Fee Detail(s):
Fee Type Fee Amount Per Member No. of selected Periods
Amount Per Member For Selected No. of Periods Total Members Total Amount Due

Payment

Since you purchased free Ticket No Payment Required.

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