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WP Contentuploads2024072024 Donor Form July PDF

Uploaded by

Christina Geracia Fredley
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5 views1 page

WP Contentuploads2024072024 Donor Form July PDF

Uploaded by

Christina Geracia Fredley
Copyright
© © All Rights Reserved
We take content rights seriously. If you suspect this is your content, claim it here.
Available Formats
Download as PDF, TXT or read online on Scribd
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DATE:

Name:
Company/Organization:

Phone: Address: Apt:


City: State: Zip:

Email: Please add me to the email list

CREDIT CARD AUTHORIZATION


Credit Card Type (please check one) Amex VISA Mastercard Discover

Card Billing Address(If same as above, leave blank):


City: State: Zip:

Phone No. of Cardholder:

Card No.: Exp. Date: CID or Security Code:

I hereby authorize the Tunnel to Towers Foundation to charge the following amount $
to my credit card. Monthly One-Time

Signature: Date:

CHECK
Please make all checks out to “Tunnel to Towers Foundation” and kindly mail with the attached form
to the address listed below.

OPTIONAL DEDICATION Please make my gift:


In Honor of In Memory of
Please send acknowledgment of dedication to (name/address required):
Name:
Phone: Address: Apt:
City: State: Zip:

WE THANK YOU FOR YOUR GENEROUS CONTRIBUTION AND CONTINUED SUPPORT!


Tunnel to Towers Foundation is recognized by the IRS as a 501(c)(3) tax-exempt organization.
Our EIN Number is 02-0554654. Please consult with your tax adviser regarding the deductibility of your contribution.
2361 Hylan Blvd, Staten Island, NY 10306 Phone (718)987-1931 Fax (718)987-3909

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