Page 65 - TPA Journal May - June 2018
P. 65
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
March/April 2018 www.texaspoliceassociation.com • 866-997-8282 61
