JIAR Program Registration ~ MOHID ©

Jamaat Ibad Ar Rahman

3034 Fayetteville St 27707, 5122 Revere Rd 27713, Durham, North Carolina, USA

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Registration Open

AL-QALAM TRIANGLE ACADEMY

29
JUL

8:30 AM

01
OCT

4:00 PM

JIAR Program Fee:

One Time: $0.00

Offering Days: Monday, Tuesday, Wednesday, Thursday, Friday

Reserved Seats: 15/18

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 JIAR Program

+ 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

eCheck/ACH titleIcon

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 Jamaat Ibad Ar Rahman consent to authorize electronic fund transfer from the account specified for this transaction in the amount specified.

Agree Decline

Promotion Code Promotional Price Applied

Since you purchased free Ticket No Payment Required.

Comments

Payment Summary

JIAR Program Fee

Total Registrants

Total Cost

Acknowledgement

Assalam-O-Alaikum,

Thank you for registering your child at Al-Qalam Triangle Academy (AQTA). We are delighted to welcome you and your child to our school community.

We have received your registration and are excited to embark on this educational journey with you. We will get back to you with updates within the next few days.

If you have any immediate questions, please feel free to call our Director at 781-289-2274 or the AQTA administration office at 919-321-8485. You can also email us at admin@aqta.org.

Best regards,

AQTA Management

Jamaat Ibad Ar Rahman

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AL-QALAM TRIANGLE ACADEMY

1 Contact Information

2 Add Registrants

3 Payment

Payment Summary

Acknowledgement

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