Program Registration ~ MOHID ©

Jame Masjid Mississauga - Islamic Propagation Centre of Ontario

5761 Coopers Ave, Coopers Ave, MISSISSAUGA, Ontario L4Z1R9, CA

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Registration Open

Sisters Skate

21
DEC

4:30 PM

21
DEC

6:00 PM

Program Fee:

One Time: $0.00

Reserved Seats: 15/50

1 Contact Information

First Name *

Last Name *

Phone Number *

Email Address *

Address1 *

Address2

Country *

Province *

City *

Postal Code *

Cell Number

2 Add Registrants

Primary Contact as First Registrant

Registrant Name*

Email Address

Age

Gender

Choose Program

+ Add More Registrants

3 Payment

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.

Promotion Code Promotional Price Applied

Since you purchased free Ticket No Payment Required.

Comments

Payment Methods

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*

Consent * Do you give Jame Masjid Mississauga - Islamic Propagation Centre of Ontario consent to authorize electronic fund transfer from the account specified for this transaction in the amount specified.

Agree Decline

Payment Summary

Program Fee

Total Registrants

Total Cost

Acknowledgement

By registering , you acknowledge that IPC shall not be held liable for any lost, stolen, or missing personal items during the duration of the event. All attendees are responsible for the security of their own belongings. Additionally, IPC assumes no responsibility for any injuries, accidents, or medical issues that may occur before, during, or after the event. By participating in the event, attendees acknowledge and accept full responsibility for their personal items and their own health and safety. All attendees are responsible for arriving to the venue on their own.

Jame Masjid Mississauga - Islamic Propagation Centre of Ontario

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Sisters Skate

1 Contact Information

2 Add Registrants

3 Payment

Payment Methods

Payment Summary

Acknowledgement

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