NICC Program Registration ~ MOHID ©

Noor Islamic Cultural Center

5001 Wilcox Road, Dublin, Ohio 43016, USA

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Program Information

Noor Hifz Schools - One time Registration Fee

Registration Open

7/100

Program Start Date: 05/01/2020 Program End Date: 05/31/2021

$50.00

Hifz Full-Time School Fees: 2020-21

Registration Open

7/20

Partial Payment: Yes Partial Amount: $400.00 Number of Months: 12

Program Start Date: 05/01/2020 Program End Date: 08/31/2020

$4,800.00

Hifz Part-Time Boys School Fees: 2020-21

Registration Open

21/100

Partial Payment: Yes Partial Amount: $200.00 Number of Months: 12

Program Start Date: 05/01/2020 Program End Date: 04/30/2021

$2,400.00

Hifz Part-Time Girls School Fees: 2020-21

Registration Open

18/50

Partial Payment: Yes Partial Amount: $200.00 Number of Months: 12

Program Start Date: 05/01/2020 Program End Date: 04/30/2021

$2,400.00

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 NICC 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 Noor Islamic Cultural 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

Noor Islamic Cultural Center

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Program Information

Noor Hifz Schools - One time Registration Fee

Hifz Full-Time School Fees: 2020-21

Hifz Part-Time Boys School Fees: 2020-21

Hifz Part-Time Girls School Fees: 2020-21

1 Contact Information

2 Add Registrants

3 Payment

Payment Summary

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