2022 Ibn Sina SCHOLARSHIP NAAMA NEXTGEN fundraiser 2023 Name(Required) First Last Phone(Required)Email(Required) Address(Required) Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Benefactor: $500 per person Quantity Price: $500.00 Quantity Includes private mix and mingle with Dean Wael Saker, M.D., beginning at 7 p.m.Friend Quantity Price: $250.00 Quantity General AdmissionsI regret I cannot attend here is my donation of Total Credit Card(Required) American ExpressDiscoverMasterCardVisaSupported Credit Cards: American Express, Discover, MasterCard, Visa Card Number Expiration Date Month Month010203040506070809101112 Year Year20232024202520262027202820292030203120322033203420352036203720382039204020412042 Security Code Cardholder Name
