Islam Comprehensive Registration

Step 1 of 4

25%

Have you previously enrolled in Islam Comprehensive?(Required)

Yes

If you did not complete the program last time, please explain the reason.

Name(Required)

First Last

Gender(Required)

Male

Female

Date of Birth(Required)

DD slash MM slash YYYY

Phone(Required)

Email(Required)

Enter Email Confirm Email

Address(Required)

Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country

How will you attend classes?(Required)

How did you hear about the course?(Required)

Google Search

Facebook

Newspaper

From a friend

Masjid

Other

How would you like to pay?(Required)

Other Information

If there is anything else you would like to tell us, please mention it here.

I am registering for(Required)

I am a(Required)

Islam Comprehensive Monthly Payment

Price:

Islam Comprehensive Monthly Payment

Price:

Islam Comprehensive Monthly Payment

Price:

Islam Comprehensive Monthly Payment

Price:

Please upload an image of your Student ID(Required)

Max. file size: 64 MB.

Please upload any proof of age(Required)

Max. file size: 64 MB.

I am registering for(Required)

I am a(Required)

Islam Comprehensive One-Time Payment (Student/Senior Full Diploma)(Required)

Price:

Islam Comprehensive One-Time Payment (Full Diploma)(Required)

Price:

Islam Comprehensive One-Time Payment (Student/Senior 1 Course)(Required)

Price:

Islam Comprehensive One-Time Payment (1 Course)(Required)

Price:

Please upload an image of your Student ID(Required)

Max. file size: 64 MB.

Please upload any proof of age(Required)

Max. file size: 64 MB.

Total

Coupon

Credit Card(Required)

Card Details

Cardholder Name

Billing Phone(Required)

Billing Email(Required)

Enter Email Confirm Email

Refund Policy(Required)

I agree to the refund policy. (Please read below and sign)

If you decide to drop the class before noon on the course start date (Sept 17, 2024, 12:00 PM PT), you will receive a 100% refund.

If you decide to drop the class up to two weeks into the course (Sept 17, 2024, 12:00 PM PT), you will receive a 75% refund.
Note: If, up to this point, you have only made one month's payment and you request to be withdrawn, you simply will not be charged the remaining 3 payments.

If you drop the class after two weeks into the course (April 30, 2024, 12:00 PM PT)), you will not be eligible to receive a refund.

Refunds are issued based on when we receive your request to withdraw by email. Whether a student attends any classes does not affect this eligibility.

Signature

EMERGENCY FUNDS APPEAL FOR MAJOR FLOOD DAMAGE AT AL-IHSAN

Please fill out the form below to register for Surrey iComp (Main) Program

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