CONTRIBUTION FORM

 

There is no maximum an individual, corporation or PAC can contribute to Tennessee Right to Life.

 

Contributions made to “Tennessee Right to Life” are not tax deductible but can be used for the

advancement of pro-life legislation in Tennessee.

 

If you prefer to make a tax-deductible donation, you can give to

“Tennessee Right to Life Education Fund”, a 501 (c)(3) charity.

 

 

Method of payment:      personal check            personal credit card

 

Mail to P.O. Box 110765   Nashville, TN  37222

OR

You can FAX your Credit Card information to 615.331.8959

 

 

Type of credit card (circle one):               VISA            Master Card            AMEX

 

Credit Card Number:                                                           __________________________________________

 

Expiration Date:_________________  CVV Number (three digits on the back side): _________________________

 

Amount: $                  Name as it appears on the card:________________________________________________

 

Signature:__________________________________________________________________________________

 

 

Please complete the following information:

 

 

Name:                                                  ______________                                  Salutation:________________

 

Address:                                                          ________                                                                    ______

 

City:                                                                                                     State: ________ Zip:________________

 

Phone: (O)                                                                      (H)_____________________________________

 

(FAX)                                                                              (Cell)_____________________________________

 

Email:_____________________________________________________________________

 

 

 

 

 

 

 

Tennessee Right to Life State Office * 1.877.CHOOSE LIFE (246-6735) * 615.298.LIFE