CC#______/______/______/______ Exp.____/____ MC VISA ...

Report 2 Downloads 32 Views
For security reasons please do not email your credit card number.

Please accept my donation of $______________to the Chicago Tennis Patrons, Inc. to be used for Junior Tennis Programs in the Chicago District. Please check one below: Chicago Tennis Patrons General Fund

Helen Shockley Scholarship Fund

Timmons Family Scholarship Fund

Katrina Adams Scholarship Fund

Name____________________________________________________________________ Address__________________________________________________________________ City/State/Zip______________________________________________________________ Phone/Cell________________________________________________________________ Email_____________________________________________________________________

MC Discover VISA CC#________/_________/_______/_______ Exp.____/____

Signature_______________________________