Logo Logo Logo Logo Logo
  • Home
  • About Us
  • Education
  • Programs & Services
    • Youth
      • Boot Camp For Youths And Family
    • Community
      • Umrah & Hajj Package
      • 5 Daily Prayers
      • Ju’Mah Prayer
      • FUNERAL PROGRAM
      • Family Night Every Friday
      • Sisters Halaqa
      • Interfaith Dialogue & Activities
    • Outreach
      • Help the poor locally and abroad
  • Events Calendar
  • Gallery
  • Donation
  • New Project
  • Home
  • About Us
  • Education
  • Programs & Services

    • Youth

      • Boot Camp For Youths And Family
    • Community

      • Umrah & Hajj Package
      • 5 Daily Prayers
      • Ju’Mah Prayer
      • FUNERAL PROGRAM
      • Family Night Every Friday
      • Sisters Halaqa
      • Interfaith Dialogue & Activities
    • Outreach

      • Help the poor locally and abroad
  • Events Calendar
  • Gallery
  • Donation
  • New Project

Step 1 of 2

50%
  • Please contact North Valley Islamic Center for any questions and clarification in regards to the policy, Thanks.
  • Applicant Contact

  • MM slash DD slash YYYY
  • Applicant's Spouse

    Applicant's Spouse Details
  • MM slash DD slash YYYY
  • Children & Siblings

    Under 25 years/single/dependent/living at same address - FOR SIBLINGS ONLY
  • MM slash DD slash YYYY
  • MM slash DD slash YYYY
  • MM slash DD slash YYYY
  • MM slash DD slash YYYY
  • MM slash DD slash YYYY
  • MM slash DD slash YYYY
  • MM slash DD slash YYYY
  • MM slash DD slash YYYY
  • MM slash DD slash YYYY
  • MM slash DD slash YYYY
  • Parents & In-laws

  • MM slash DD slash YYYY
  • MM slash DD slash YYYY
  • Not Eligible, has to be a Canadian citizen or Canadian PR card holder.
  • MM slash DD slash YYYY
  • MM slash DD slash YYYY
  • Not Eligible, has to be a Canadian citizen or Canadian PR card holder.
  • Emergency Contact Info (Except Spouse)

  • Beneficiary Info

  • Applicant's Acknowledgement

  • MM slash DD slash YYYY
Save and Continue
  • Pre-Authorized Debit (PAD) Agreement - You, the Payer, may revoke your authorization at any time, subject to providing notice of 30 days. To obtain a Cancellation form, or for more information on your right to cancel a PAD Agreement, contact your financial institution or visit www.cdnpay.ca The payer have certain recourse right if any debit does not comply with this agreement for example, payer have the right to receive reimbursement for any debit that is not authorized or is not consistent with this PAD agreement. To obtain more information on your recourse right, contact your financial institution or visit www.cdnpay.ca If payer is only for NICE Funeral program Member, Payer Agree to pay registration fee and also reimbursed share of funeral cost , which will be divided equally to all members. If he/she fall (*3) to pay any funeral cost share, NICE has right to revoke your funeral membership. Members responsible to change any address, emergency name and number, beneficiary or additional applicants within family

    You, the Payer, may revoke your authorization at any time, subject to providing notice of 30 days. To obtain a Cancellation form, or for more information on your right to cancel a PAD Agreement, contact your financial institution or visit www.cdnpay.caThe payer have certain recourse right if any debit does not comply with this agreement for example, payer have the right to receive reimbursement for any debit that is not authorized or is not consistent with this PAD agreement. To obtain more information on your recourse right, contact your financial institution or visit www.cdnpay.caIf payer is only for NICE Funeral program Member, Payer Agree to pay registration fee and also reimbursed share of funeral cost , which will be divided equally to all members. If he/she fall (*3) to pay any funeral cost share, NICE has right to revoke your funeral membership. Members responsible to change any address, emergency name and number, beneficiary or additional applicants within family
  • MM slash DD slash YYYY
  • Funeral Membership Details:

  • $ 0.00 CAD
  • Account Details

    The debit will be processed to your account on the 20th day of each month or the next business day.
  • Please Fill up your bank information below:
  • Please fill up your credit card details below:
  • You, the Payer, may revoke your authorization at any time, subject to providing notice of 30 days. To obtain a Cancellation form, or for more information on your right to cancel a PAD Agreement, contact your financial institution or visit www.cdnpay.ca
  • The payer has certain recourse right if any debit does not comply with this agreement for example, payer have the right to receive reimbursement for any debit that is not authorized or is not consistent with this PAD agreement. To obtain more information on your recourse right, contact your financial institution or visit www.cdnpay.ca
  • If payer is only for North-Valley Islamic Centre (NICE)Funeral program Member, Payer Agree to pay registration fee and also reimbursed share of funeral cost, which will be divided equally to all members. If he/she fail (*3) to pay any funeral cost share, North-Valley Islamic Centre (NICE) has right to revoke your funeral membership. Members responsible to change any address, emergency name and number, beneficiary or additional applicate within family
  • Office Use Only

Save and Continue
DONATE
Donate Here
Contact Us

Address:

423 Wanless Dr. Unit # 107, Brampton, ON, L7A 0N9. Canada.

info@nice-canada.com

647-573-6655

Follow Us
Follow us on Facebook

Follow us on YouTube

Join Us
[popup_anything id="858"]

Copyright © 2021 NICE – Developed by nSolutions.