NICC Program Registration ~ MOHID ©

Noor Islamic Cultural Center - American Islamic Waqf

5001 Wilcox Road, Dublin, Ohio 43016, USA

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Registration Open

Tijan Sisters Quran Revision Day

14
NOV

9:00 AM

14
NOV

7:00 PM

NICC Program Fee:

One Time: $15.00

Reserved Seats: 11/100

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

Choose NICC Program

Phone number*

Name of participant's Quran teacher *

+ Add More Registrants

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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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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Total Cost

Noor Islamic Cultural Center - American Islamic Waqf

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Tijan Sisters Quran Revision Day

1 Contact Information

2 Add Registrants

3 Payment

Payment Methods

Or

Payment Summary

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