(Please click here to print)                                        CONTRIBUTION FORM Donation Amount* $ ______________ First Name*  ________________________________________________________ Last Name*  ________________________________________________________ Street Address* ______________________________________________________ City* __________________________ State*______________ Zip*____________ Phone Number _______________________________ E-mail ______________________________________ * = required information   I prefer to make my donation by: ____ Check or Money Order (made out to "Realtors Care Foundation of GTAR") or Credit Card (please enter information below) ____ Visa       ____ MasterCard       ____ American Express       ____ Discover Credit Card Number ________________________________  Exp. Date _________ Signature ___________________________________________________________ Please mail or fax this completed form and your gift to:      REALTORS® Care Foundation of GTAR      Attn: Carol Austin      2918 West Kennedy Blvd, Tampa, FL 33609      Email: carol@gtar.net      Fax #: 813-879-8977 Thank you for your gift! The REALTORS Care foundation of GTAR is classified as a public charity under code section 170 (b) (1) (A) (vi) and is an exempt organization under code section 501 (C) 3) and all donations are considered tax deductible. REALTORS CARE FOUNDATION OF GTAR, INC. REGISTRATION#: CH23046 "A COPY OF THE OFFICIAL REGISTRATION AND FINANCIAL INFORMATION MAY BE OBTAINED FROM THE DIVISION OF CONSUMER SERVICES BY CALLING TOLL-FREE (800-435-7352) WITHIN THE STATE. REGISTRATION DOES NOT IMPLY ENDORSEMENT, APPROVAL, OR RECOMMENDATION BY THE STATE."