Ditchmen • NUCA of Florida Ditchmen - May 2020 | Page 12

FOR BEN WHEN YOUR COMPANY IS AWA PASS O lOR MORE IF IT'S A R TO SUPPORT NUCA OF FLO NUCA OF FLORIDA USES THESE FUNDS SUPPORT ISSUES IMPORTANT TO YOUR BUSINES NUCA OF FLORIDA COULD SUCCESSFULLY I SELECT CONTRIBUTION AMOUNT DONATE O DIRECT TO 0 S 100 0 $250 0 $50 CONTACT INFORMATION FIRST NAME Ml LAST NAME MAILING STREET ADDRESS CITY EMAIL ADDRESS STATE PROJECT NAME CONTRIBUTION INFORMATION 0 CHECK O INVOICE ME 0 CREDIT (SINGLE PAYMENT) CREDIT CARD NUMBER EXP. DA TE (MO/Y SIGNATURE FOR CREDIT CARDS