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Morocco & Libya Fundraising Dinner
Name
*
Email
Phone number
*
Home Address
*
Zip Code
*
Number of Tickets
*
One Ticket ($50.00)
Two Tickets ($100.00)
Three Tickets ($150.00)
Four Tickets ($200.00)
Five Tickets ($250.00)
Six Tickets ($300)
Seven Tickets ($350)
Eight Tickets ($400)
Nine Tickets ($450)
Ten Tickets ($500)
Credit Card Information
If you prefer, you can drop off a check/cash to the ISM Office by Friday September 22. You can also purchase tickets from the Salam School office or the ISM Office.
Name on Card
Credit Card Number
Expiration Date
Security Code
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