Donation Form

DONATION FORM

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

First NameLast Name
Address

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
E-mail*
Phone Number*

Area CodePhone Number
Amount

prevnext( X )
USDDescription
To designate your donation to a particular program, please indicate here.
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

Postal / Zip Code
Additional Instructions
Other
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.

Payment Methods

Debit or Credit Card

Choose from one of the PayPal options to make your payment.

DONATION FORM