Program Registration ~ MOHID ©

Mishkah Adult Learning Tazkiayh (Nov 19, Dec 3, Dec 10 and Dec 17)

19
NOV

17
DEC

Program Fee:

One Time: $25.00

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1 Contact Information

First Name *

Last Name *

Phone Number *

Email Address *

Address1 *

Address2

Country *

State *

City *

Zip Code *

Cell Number

2 Add Registrants

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Email Address

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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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Islamic Association of Allen

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Mishkah Adult Learning Tazkiayh (Nov 19, Dec 3, Dec 10 and Dec 17)

1 Contact Information

2 Add Registrants

3 Payment

Payment Methods

Or

Payment Summary

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