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Bergen County Islamic Center

78 Trinity Pl, , Hackensack, New Jersey 07601, USA

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Program Information

Sunday School

Registration Open

0/50

Partial Payment: Yes Partial Amount: $70.00 Number of Months: 8

Program Start Date: 10/04/2020 Program End Date: 05/23/2021

$560.00

Darul Quran

Registration Open

0/50

Partial Payment: Yes Partial Amount: $70.00 Number of Months: 5

Program Start Date: 10/05/2020 Program End Date: 05/26/2021

View Details $350.00 $560.00

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 Program

+ Add More Registrants

3 Payment

Payment Method

eCheck/ACH

Credit 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 Bergen County Islamic Center 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

Bergen County Islamic Center

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Program Information

Sunday School

Darul Quran

1 Contact Information

2 Add Registrants

3 Payment

Payment Summary

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