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FTAA FLORIDA TURKISH AMERICAN ASSOCIATION 3020 NE 32nd Ave. Ste: 123, Fort Lauderdale, FL 33308
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FTAA 2018 End-of-Year Donation Form Your contribution
(Tax-deductible to the extent allowed by law)
__$75 __$100 __$250 __$500 __$1,000 __$1,500 __$2,500 __$5,000 __$10,000 Other: $ ___________
Title: ______ Name: _________________________Last Name: _____________________________
Address: ______________________________________________________________________________
City: _____________________________________State:___________________Zip:_________________
Phone_____________________________ E-mail:________________________________________
___Check enclosed (Payable to FTAA)
Charge my ____VISA/ ____MASTERCARD
Credit Card Number: __________________________________ Exp. Date: _____/_____ CSC: _______
Signature: _____________________________________________