SELECT CONTRIBUTION AMOUNT
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
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MAIL CONTRIBUTIONS TO : NUCA OF FLORIDA u C A
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215 S . MONROE ST ., SUITE 500 " � "'"""" ""'"' • < x�VA " OH =•• AAC < O , S
TALLAHASSEE , FL 32301
OF FLORIDA
0 S 100 0 $ 250 0 $ 500 0 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 CHECK O INVOICE ME 0 CREDIT ( SINGLE PAYMENT ) TYPE : 0 AMEX O VISA O MC O DISC
CREDIT CARD NUMBER EXP . DA TE ( MO / YR ) CVV #
SIGNATURE FOR CREDIT CARDS