THE COMMUNITY FOUNDATION OF MIDDLE TENNESSEE
GIVING CARD ORDER FORM Fill out the information in steps 1-3 to place your Giving Card order.
1. CHOOSE A DESIGN AND DENOMINATION OF $25, $50, OR $100 AND CARD QUANTITY.
THANK YOU! GIVING CARD
The Community Foundation of Middle Tennessee
cfmt.org
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GIVING THANKS GIVING CARD
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CARD NUMBER
The Community Foundation of Middle Tennessee
The Community Foundation of Middle Tennessee
CFMT.org
cfmt.org
Just Married (1287)
Blue Bee Holiday (287)
DENOMINATION ($25, $50, OR $100)
QUANTITY
PROCESSING FEE
$149 and under fee is $5 $150 to $299 fee is $10 $300 and above fee is $15
Processing Fee: _____________ Giving Card Dollar Amount: _____________ Total: _____________ Entire Amount is Tax Deductible See reverse for billing and shipping information
2. BILLING INFORMATION o I am enclosing a check payable to The Community Foundation of Middle Tennessee o Process order through my fund at The Community Foundation Fund Name: _______________________________________________________________ Signature: ________________________________________________________________ Date: ____________________
Phone: __________________________
o Charge to my credit card Name (as it appears on your card): ___________________________________________ Organization: _____________________________________________________________ Billing Address: ____________________________________________________________ City/State/Zip: ____________________________________________________________ Phone: ________________________________________________ Credit Card Number: ____________________________________ Expiration Date: ______________________ Credit Card Type
CCV: ___________
o Visa o MasterCard o Discover o American Express
Signature: ______________________________________________________________ Date: ____________________
3. SHIPPING INFORMATION o Same as billing information Name: ____________________________________________________________________ Address: __________________________________________________________________ City/State/Zip: _____________________________________________________________
Return this form to: Kristen Korzenowski The Community Foundation of Middle Tennessee 3833 Cleghorn Avenue, Suite 400 | Nashville, TN 37215 615-321-4939 |
[email protected]