Checkout - NEWH

Step 1: Registration

Donor Information

Company Name *

Is this a: *

Company Donation Personal Donation

First Name *

Last Name *

Address *

City *

State *

Zip/Postal Code *

Country *

Phone *

Email *

Donation

Chapter I'd like to donate to:

Amount I'd like donate: * $

Your Susan Crowder Scholarship donation will be applied toward Arizona Chapter scholarships.

Step 2: Confirmation Receipt Information

Confirmation Information

Information same as above

First Name *

Last Name *

Email (Your receipt/registration confirmation will be sent here) *

Country *

Address (Billing Address if submitting payment) *

City *

Provinces *

State *

State/Province/Shire/Region *

Zip/Postal Code *

Payment Options

I have read and agree to NEWH's Terms and Conditions and NEWH's Event Photo Release/Refund and Cancellation Policies. Please email [email protected] if you have any objections or questions.

Select Payment Option

Credit or Debit Card

*The invoice will be received by email.

Credit or debit card

* Please note that pre-paid credit cards are not accepted at this time.

* CVC Code is last 3 digits on back of MasterCard or Visa. American Express is 4 digits on front of card.

Step 3: Review

Products

Susan Crowder Scholarship

× 1

$0.00

Discount

− $0.00

Total

$0.00

NOTE: By registering for any in-person event, you are agreeing to attend solely at your own risk. Measures will be taken to comply with all applicable health and safety directives, but you assume any and all risks associated with your attendance, including without limitation, exposure to the COVID-19 virus and other health and safety risks.

Awards

Step 1: Registration

Donor Information

Donation

Step 2: Confirmation Receipt Information

Confirmation Information

Payment Options

Step 3: Review

Products

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