Program Registration ~ MOHID ©

Islamic Society of Akron and Kent

152 E Steels Corners Rd., Cuyahoga Falls, Ohio 44224, USA

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ISAK Sunday School

14
SEP

9:45 AM

17
MAY

2:15 PM

Program Fee:

One Time: $600.00

Monthly: $100.00 (Number of Months: 6)

Offering Days: Sunday

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Reserved Seats: 0/200

1

First Name *

Last Name *

Phone Number *

Email Address *

Address1 *

Address2

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State *

City *

Zip Code *

Cell Number

2

Primary Contact as First Registrant

Registrant Name*

Email Address

Age

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3

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.

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Expiry Date*

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Consent * Do you give Islamic Society of Akron and Kent consent to authorize electronic fund transfer from the account specified for this transaction in the amount specified.

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By registering , you acknowledge that you will follow all the instructions provided to you by ISAK for your and other community member's safety

Islamic Society of Akron and Kent

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ISAK Sunday School

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