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Fusion Community Center of NJ

650 Pascack Rd, PARAMUS, New Jersey 07652, USA

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Peer Tutoring _Bridge to Progress

01
MAR

12:00 AM

03
JAN

12:00 AM

Program Fee:

One Time: $35.00

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

View Details

Reserved Seats: 0/25

1 Contact Information

First Name *

Last Name *

Phone Number *

Email Address *

Address1 *

Address2

Country *

State *

City *

Zip Code *

Cell Number

2 Student Name

Primary Contact as First Registrant

Registrant Name*

Email Address

Age

Gender

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3 Payment

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 Fusion Community Center of NJ 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

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

Fusion Community Center of NJ

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Peer Tutoring _Bridge to Progress

1 Contact Information

2 Student Name

3 Payment

Payment Summary

Acknowledgement

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