Farhang.org

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Farhang Ambassador: $250/year (Recurring)

Contact Information

First Name *

Last Name *

Address *

Address2

City *

State *

Zip *

Country *

Phone

Email *

I’ll cover credit card processing fees

Yes (+$8)

No

Payment Information

Payment Terms

$250 for each 1 year

Total Due

$

Regular subscription discount amount

$

Regular subscription tax

$

Payment Fee

$

Regular gross amount

$

Payment Method

Stripe

Credit Card Number*

Expiration Date*

/

Card (CVV) Code*

Card Holder Name*