Program Registration ~ MOHID ©

Prince Georges Muslim Association

9150 Lanham Severn Rd, Lanham, Maryland 20706, USA

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PGMA Ramadan 2024 Childcare Program

10
MAR

9:00 PM

09
APR

11:00 PM

Program Fee:

One Time: $30.00

Offering Days: Monday, Tuesday, Wednesday, Thursday, Friday, Saturday, Sunday

View Details

1 Parent Information

First Name *

Last Name *

Phone Number *

Email Address *

Address1 *

Address2

Country *

State *

City *

Zip Code *

Cell Number

2 Add Children

Primary Contact as First Registrant

Registrant Name*

Email Address

Age

Gender

Choose Program

Does your child have any allergies or special needs?

+ Add More Registrants

3 Payment

You can help save us on credit card transaction fees by selecting the eCheck/ACH option. Jazakumullahu khairan!

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 Prince Georges Muslim Association consent to authorize electronic fund transfer from the account specified for this transaction in the amount specified.

Agree Decline

Promotion Code Promotional Price Applied

Since you purchased free Ticket No Payment Required.

Comments

Payment Summary

Program Fee

Total Registrants

Total Cost

Acknowledgement

By registering, you acknowledge that; (1) You will accompany your child to the masjid and will remain at the masjid premises for the duration of the Taraweeh program. No drop-offs. (2) You have listed any allergies or special needs for your child.

Prince Georges Muslim Association

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PGMA Ramadan 2024 Childcare Program

1 Parent Information

2 Add Children

3 Payment

Payment Summary

Acknowledgement

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