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Utah Islamic Center

Utah Islamic Center

984 West 9000 South, West Jordan, Utah 84088, USA

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Utah Crescent Academy Fundraising Dinner

07
FEB

5:30 PM

Venue :UIC

Registration Open

1 Tickets

Individual Adult *

Child *

Table of 8 *

1 Contact Information

First Name *

Last Name *

Phone Number *

Email Address *

Address1 *

Address2

Country *

State *

City *

Zip Code *

Cell Number

3 Payment

Promotion Code Promotional Price Applied

Since you purchased free Ticket No Payment Required.

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Name on Credit Card *

Credit Card Number*

Expiry Date*

CVV Code*

Bank Name

Name on Account *

Account Number*

Routing Number*

Account Type*

Consent * Do you give Utah Islamic Center consent to authorize electronic fund transfer from the account specified for this transaction in the amount specified.

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Payment Summary

Total Individual Adult Tickets

$0.00

Total Child Tickets

$0.00

Total Table of 8 Tickets

$0.00

Total Cost

$0.00

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