Issuu on Google+

T HANKYOU

2016

Name:_________________________________________ A YEAR-END G I FT Addr es s :_______________________________________________________________________ Phone:______________________ Emai l :__________________________________________ Donat i onAmount :

$10

$25

$50

$100

Ot her :______________

PaymentMet hod: Cr edi tCar d CheckEncl os ed Car d#:_________________________ Ex p.Dat e:__________Code:_____________ S i gnat ur e:_____________________________________________Dat e:______________ Gi f t sar edes i gnat edt oar eaofgr eat es tneedunl es sot her wi s enot ed:_ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _


TCA Pledge Card