FOR BENJAMINS
WHEN YOUR COMPANY IS AWARDED A BID OR NEW PROJECT
PASS ON $ 100 lOR MORE IF IT ' S A REALLY BIG PROJECTJ
TO SUPPORT NUCA OF FLORIDA ' S ADVOCACY FUND
NUCA OF FLORIDA USES THESE FUNDS TO CONTRIBUTE TO CANDIDATES THAT SUPPORT ISSUES IMPORTANT TO YOUR BUSINESSES . IF EVERY MEMBER WOULD CONTRIBUTE , NUCA OF FLORIDA COULD SUCCESSFULLY INCREASE THEIR CLOUT IN TALLAHASSEE .
SELECT CONTRIBUTION AMOUNT
DONATE ONLINE DIRECT TO FUND
MAIL CONTRIBUTIONS TO : NUCA OF FLORIDA P . O Box 1115 Shalimar , FL 32579
[ ] 100 [ ] $ 250 [ ]$ 500 [ ] OTHER AMOUNT $___
CONTACT INFORMATION
FIRST NAME |
Ml |
LAST NAME |
COMPANY |
MAILING STREET ADDRESS |
|
|
SUITE / APT . NO |
CITY |
STATE |
ZIP |
COUNTRY |
EMAIL ADDRESS |
PROJECT NAME ( OPTIONAL ) |
|
|
CONTRIBUTION INFORMATION |
0 0
CHECK CREDIT ( SINGLE
PAYMENT )
|
O
INVOICE ME
TYPE :
|
0 O O O
AMEX VISA MC DISC
|
CREDIT CARD NUMBER
SIGNATURE FOR CREDIT CARDS
EXP . DAT E ( MO / YR ) CVV #
16 Ditchmen November / December