Texas Rose Festival Association
P.O.
Box 8224 Tyler,
Texas 75711 (903)
597-3130 Fax: (903)
597-3031
Instructions:
Please
print this form , and
fill in the information.
If
mailing, please enclose check and send to the address above.
If faxing, please include the pertinent credit card information
below.
Name:
_____________________________________________
Address:
_____________________________________________
City,
State, Zip:
_____________________________________________
Home
Phone:
_______________
Work
Phone:
_______________
Payment:
Enclosed .
Make check payable to Texas Rose Festival
Association .
Please
charge my contribution to:
Visa
Mastercard
ACCOUNT #:____________________________________ EXP:___________________
SIGNATURE:__________________________________________________________
Gift
or Memorial Contribution
This Gift is From:
Name:
_____________________________________________
Address:
_____________________________________________
City,
State, Zip:
_____________________________________________
Phone:
_______________
Amount:
$ _______________
This Gift is Given:
Name:
_____________________________________________
Address:
_____________________________________________
City,
State, Zip:
_____________________________________________