Quran Memorization Registration Étape 1 de 5 - Branch Registration 20% Preferred Study Location*_Due To Covid -19 , all Halaqat are moved to be VirtualRegistration/Programs*_Quran Memorization @ 1 Student $120Quran Memorization @ 2 Students $240Quran Memorization @ 3 Students $3601 Student Program Price* Prix: $ 120.00 CAD (2) Students Program Price* Prix: $ 240.00 CAD (3) Students Program Price* Prix: $ 360.00 CAD Student 1 Full Name* Prénom Nom Gender*_MaleFemaleStudent Date of Birth*Month123456789101112Day12345678910111213141516171819202122232425262728293031Year2022202120202019201820172016201520142013201220112010200920082007200620052004200320022001200019991998199719961995199419931992199119901989198819871986198519841983198219811980197919781977197619751974197319721971197019691968196719661965196419631962196119601959195819571956195519541953195219511950194919481947194619451944194319421941194019391938193719361935193419331932193119301929192819271926192519241923192219211920Contact Email* Saisissez un e-mail Confirmez l’e-mail Contact Phone* Student 2 Full Name* Prénom Nom Gender*_MaleFemaleStudent Date of Birth*Month123456789101112Day12345678910111213141516171819202122232425262728293031Year2022202120202019201820172016201520142013201220112010200920082007200620052004200320022001200019991998199719961995199419931992199119901989198819871986198519841983198219811980197919781977197619751974197319721971197019691968196719661965196419631962196119601959195819571956195519541953195219511950194919481947194619451944194319421941194019391938193719361935193419331932193119301929192819271926192519241923192219211920Contact Email* Saisissez un e-mail Confirmez l’e-mail Contact Phone* Student 3 Full Name* Prénom Nom Gender*_MaleFemaleStudent Date of Birth*Month123456789101112Day12345678910111213141516171819202122232425262728293031Year2022202120202019201820172016201520142013201220112010200920082007200620052004200320022001200019991998199719961995199419931992199119901989198819871986198519841983198219811980197919781977197619751974197319721971197019691968196719661965196419631962196119601959195819571956195519541953195219511950194919481947194619451944194319421941194019391938193719361935193419331932193119301929192819271926192519241923192219211920Contact Email* Saisissez un e-mail Confirmez l’e-mail Contact Phone* Billing Address (Tax Receipt)*Address (Tax Receipt)* Adresse postale Adresse ligne 2 Ville AlbertaColombie-BritanniqueManitobaNouveau-BrunswickNewfoundland and LabradorTerritoires du Nord-OuestNouvelle-ÉcosseNunavutOntarioÎle du Prince-ÉdouardQuébecSaskatchewanYukon Province Code postal Name* Prénom Nom Phone (Tax Receipt)*Email (Tax Receipt)* Saisissez un e-mail Confirmez l’e-mail ConsentI grant Al - Huda Verdun the permission to photograph/video me and use such photograph(s)/video(s) in all forms of media, for any and all promotional purposes including advertising, display, audiovisual, exhibition or editorial use. I agree / permit (optional)Programs / Registrations Total $ 0.00 CAD Credit Card* Card Details Cardholder Name CAPTCHA
