Islamic Conference in North America Our Faith, Our Family, & Our Future: June 29, 30, & July 1, 2007 Online Registration Form/ Foomka Codsiga |
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| First Name / Magaca kowaad | |
| Last Name / Magaca awawga | |
| Phone / Taleefoon | |
| Email / ii-mayl | |
| Address / Ciwaanka | |
| City / Magaalada | |
| State / G0b0lka | |
| Zip Code / Nambarka xaafada | |
| Registration Type / Nooca dadka | Adult / Qof ($25) |
| Group of 5 / 5 Qof ($100) | |
| Student / Arday ($20) | |
| Child Care / Caruur hayn ($10/family) | |
| Total (will be verified on the next screen) | $ |
| Name of Attendees /Tirada inta qof ee imaanaysa | |