FTAA FLORIDA TURKISH AMERICAN ASSOCIATION                           3020 NE 32nd Ave. Ste: 123, Fort Lauderdale, FL 33308                                           www.ftaa.com    contact@ftaa.com

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: _____________________________________________