Page 43 - TPA Journal November December 2023
P. 43

DONATION FORM




                                    I would like to support the Texas Police Association.



                   Name of Donor:


                   Address:


                   City:                        State:                              Zip:

                   E-Mail Address:




                   Enclosed is my donation for the Texas Police Association in the amount of:
                          $25.00                $50.00               $100.00        Other $

                           Enclosed is my check.


                   Please charge my      Am Exp        Discover      Master Card       Visa


                   Card #:

                   Expiration Date:                    3 Digit Security Code:


                   Name on Card:


                   Signature:

                   Contact Phone Number:




                   Please mail forms and checks to:
                   Texas Police Association
                   P O Box 4247
                   Austin, Texas 78765-4247
                   Or
                   www.texaspoliceassociation.com








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