Travel Portland Education & Training Foundation Donation

Full Name*

First NameLast Name

Company Name (if applicable)

Mailing Address*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code

Phone Number*

Please enter a valid phone number.

Email Address*

example@example.com

I/We commit to support the Travel Portland Education and Training Foundation with a donation, in honor of Jeff Miller:*

$1,000$2,000$3,000Other Amount

Payment Method*

CheckCredit CardDonor Advised FundSend Invoice

To process your donation from your donor-advised fund via ACH, please provide us with the following banking information.

Bank Name*

Account Type*

Bank Routing Number*

Bank Account Number*

I understand that this authorization is for a one-time ACH debit and will remain in effect only for the authorized amount specified above unless otherwise communicated by me in writing. I also acknowledge that I may revoke this authorization by providing written notice to the Travel Portland Education & Training Foundation prior to the processing date of the payment.*

Agree

Make Check Payable: Travel Portland Foundation

Mailing Address:

Travel Portland Education & Training Foundation

Jeff Miller Excellence in Leadership and Hospitality Fund

100 S.W. Main St., Suite 1100

Portland, OR 97204

Please send a copy of invoice to:

Separate multiple email recipients with a comma

Jeff Miller Excellence in Leadership and Hospitality Fund*

USDDonation Amount

Credit Card

First Name

Last Name

Credit Card Number

Security Code

Expiration Month

Expiration Year

Billing Address

Street Address

Street Address Line 2

City

State / Province

Postal / Zip Code

Country

Donor Acknowledgement*

I/We prefer to keep this gift anonymousRecognize my company/organizationPlease recognize the gift as:

Travel Portland Education & Training Foundation Donor Commitment Form

Donor Contact Information

Commitment Details