Program Registration ~ MOHID ©

Islamic Society of Addison

1000 N Rohlwing Rd, Addison, Illinois 60101, USA

Home

Monthly Donation Tickets Pledge Program Registration Membership Signup Member Login

Boys Comprehensive Hifz & Islamic Leadership Development Program

07
AUG

8:00 AM

31
JUL

3:30 PM

Program Fee:

One Time: $2,765.00

Monthly: $395.00 (Number of Months: 7)

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

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

Age of Child*

Second Parent Name*

Second Parent Number*

+ 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 Islamic Society of Addison 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 you will follow all the instructions provided to you by the Masjid for your and other community member's safety

Islamic Society of Addison

homeHome

Boys Comprehensive Hifz & Islamic Leadership Development Program

1 Contact Information

2 Add Registrants

3 Payment

Payment Summary

Acknowledgement

Home