NICC Program Registration ~ MOHID ©

Noor Islamic Cultural Center - American Islamic Waqf

5001 Wilcox Road, Dublin, Ohio 43016, USA

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Henna Bazaar Vendor Registration

28
MAR

12:00 PM

28
MAR

7:00 PM

NICC Program Fee:

One Time: $50.00

View Details

1

First Name *

Last Name *

Phone Number *

Email Address *

Address1 *

Address2

Country *

State *

City *

Zip Code *

Cell Number

2

Primary Contact as First Registrant

Registrant Name*

Email Address

Age

Gender

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3

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

Payment Method

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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 Noor Islamic Cultural Center - American Islamic Waqf consent to authorize electronic fund transfer from the account specified for this transaction in the amount specified.

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Since you purchased free Ticket No Payment Required.

Comments

Payment Summary

NICC Program Fee

Total Registrants

Total Cost

Acknowledgement

Important Information -NICC is not responsible for lost or stolen merchandise or equipment. You are responsible for providing any extension cords, table covers and any other necessary equipment for your table. Vendors are expected to leave their space clean and tidy before leaving for the evening. Disposing of any trash in appropriate receptacles. Failure to do so may result in you not being able to participate in future events. Trash receptacles will be available throughout the basement for your use.

Noor Islamic Cultural Center - American Islamic Waqf

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Henna Bazaar Vendor Registration

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Payment Summary

Acknowledgement

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