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Islamic Association of Collin County

6401 INDEPENDENCE PARKWAY, PLANO, Texas 75023, USA

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July Youth Qiyam

26
JUL

149/160

EXPIRED

$3.00

1 Contact Information

First Name *

Last Name *

Phone Number *

Email Address *

Address1 *

Address2

Country *

State *

City *

Zip Code *

Cell Number

2 Add Registrants

Registrant Name*

Email Address

Age

Gender

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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 Islamic Association of Collin County consent to authorize electronic fund transfer from the account specified for this transaction in the amount specified.

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Islamic Association of Collin County

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July Youth Qiyam

1 Contact Information

2 Add Registrants

3 Payment

Payment Summary

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