Program Registration ~ MOHID ©

Islamic Center of Staten Island

Islamic Center of Staten Island

365 VETERANS RD W, Staten Island, New York 10309, USA

Home

Summer camp shirts Pledge Program Registration Membership Signup Member Login

Swipe Credit Card

Please swipe credit card ......

Scan Check

Please scan check ......

Program Information

Pre-K & Kindergarten ONLY 25% Deposit for Early Bird 1 (April 1st)

Program Start Date: 04/06/2024 Program End Date: 05/15/2024

$1,800.00

1st - 5th Grade 25% Deposit for Early Bird 1 (April 1st)

Program Start Date: 04/06/2024 Program End Date: 05/15/2024

$1,725.00

6th Grade ONLY 25% Deposit for Early Bird 1 (April 1st)

Program Start Date: 04/06/2024 Program End Date: 05/15/2024

$1,800.00

ICSI Lions - Basketball Summer 2024

Program Start Date: 05/03/2024 Program End Date: 07/31/2024

$200.00

ISSI Pre-Registration Form

Program Start Date: 03/08/2024 Program End Date: 04/30/2024

$150.00

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

You can help save us on credit card transaction fees by selecting the eCheck/ACH option. Jazak'Allah!

Payment Method

titleIcon

eCheck/ACH titleIcon

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*

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 Islamic Center of Staten Island 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

Program Fee

$0

Total Registrants

0

Total Cost

$0

Privacy Policy | Refund Policy

MOHID © product of

Title

Loading...

Loading...

Title

Title

Title

Title

Loading...