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Muslim Center of Middlesex County

1000 Hoes Lane, Piscataway, New Jersey 08854, USA

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Registration Full

MCMC BADMINTON DOUBLES CHAMPIONSHIP

28
JAN

8:00 AM

28
JAN

1:00 PM

Program Fee:

One Time: $20.00

Reserved Seats: 36/36

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 Program

Level1(Beginner) / Level2 (Intermediate) / Level3 (Advanced)*

+ Add More Registrants

3 Payment

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

Payment Method

eCheck/ACH titleIcon

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 Muslim Center of Middlesex County consent to authorize electronic fund transfer from the account specified for this transaction in the amount specified.

Agree Decline

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Since you purchased free Ticket No Payment Required.

Comments

Payment Summary

Program Fee

Total Registrants

Total Cost

Acknowledgement

I shall abide by the rules set by MCMC TT Committee. Umpires decisions are final. Arguments will lead to expulsion without refund. No refund after the deadline. Registrations are only valid when paid in full before the deadline.

Muslim Center of Middlesex County

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MCMC BADMINTON DOUBLES CHAMPIONSHIP

1 Contact Information

2 Add Registrants

3 Payment

Payment Summary

Acknowledgement

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