Afghanistan- From The Inside Looking Out
Ambassador Said T. Jawad
Card Type
Name (as appears on Card)
Credit Card Number
Expiration date: month/year
Billing Address
Address
City/State/Zip Code
Phone/Email
Number of Reserved Tickets at $50.00
Number of Student Tickets at $25.00 each
Total Amount Charge
Please Print and Fax back to 925 283-1134