General Admission 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 - The Women Hub

07
JUN

2:30 PM

28
JUN

4:00 PM

General Admission Fee:

One Time: $50.00

Offering Days: Sunday

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Reserved Seats: 3/100

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

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Full Name*

Phone Number*

Email Address*

Full Name of Emergency Contact*

Relationship*

Phone Number of Emergency Contact*

Are you able to read the Qur'anic Script*

Do you know any Surahs/Chapters by heart? (If yes, specify)*

Do you know Tajweed Rules? (if yes, please specify)*

I acknowledge that the fee for this program is $50 per month*

I acknowledge and agree with the rules of ISAK- Type YES*

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3 Payment

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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Since you purchased free Ticket No Payment Required.

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Credit Card Number*

Expiry Date*

CVV Code*

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Name on Account *

Account Number*

Routing Number*

Account Type*

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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Islamic Society of Akron and Kent

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ISAK Sunday School - The Women Hub

1 Contact Information

2 Add Registrants

3 Payment

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