PRE-AUTHORIZED FORM This form must be filled once per student. Student Name(Required) First Last Schedule(Required)Weekday: 5:00pm-7:00pmWeekend: 10:00am-12:00pmPrivate Quran ClassesPrivate Arabic ClassesGroup Arabic ClassesKid's ProgramBank Name(Required) Institution #(Required) Transit #(Required) Account #(Required) Void Cheque(Required) Drop files here or Select files Max. file size: 64 MB, Max. files: 4. CommentsUntitled I hereby authorize Aisha Academy to automatically withdraw, from my Bank Account, the monthly fees of my child on the 22nd of each month. If I would like to cancel my registration and the pre-authorize payments, I must provide a notice of 30 days. Please enable JavaScript in your browser to complete this form.Student Name *FirstLastSchedule *Weekday: 5:00pm-7:00pmWeekend: 10:00am-12:00pmPrivate Quran ClassesPrivate Arabic ClassesGroup Arabic ClassesBank Name *Institution # *Transit # *Account # *Void Cheque * Click or drag a file to this area to upload. CommentsNote:I hereby authorize Aisha Academy to automatically withdraw, from my Bank Account, the monthly fees of my child on the 22nd of each month. If I would like to cancel my registration and the pre-authorize payments, I must provide a notice of 30 days.Click here to Submit Loading…
