Annual Fund Donation Form

DONATION FORM

Yes! I want to support the CORTA Annual Fund and help change lives through tennis!
Donor Name*

First NameLast Name
Address

Street Address

Street Address Line 2

CityState / Province

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E-mail*
Phone Number*

Area CodePhone Number
Amount*

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Tribute Information
Tribute in name of:

First NameLast Name
Please send acknowledgment of tribute to:

First NameLast Name
Street Address

Street Address Line 2

CityState / Province

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Additional Instructions
To designate your donation to a particular program, please indicate here.
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CORTA is a 501(c)3 not for profit charitable organization; EIN #58-6043414.
Contributions are tax-deductible to the full extent allowed by the law.
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DONATION FORM