FRIENDS OF THE ALLIANCE

FRIENDS CONTRIBUTION FORM

Join us!

The National Alliance for Accessible Golf, formed in 2002 as a collaboration of agencies, institutions, corporations, and individuals, is committed to enhancing the game golf with the inclusion of golfers with disabilities. We are happy to offer you the opportunity to assist us in advancing the game of golf . . . for everyone.

Friends Contribution form (PDF file - Printer friendly version)

Fax to: National Alliance For Accessible Golf (703) 435-4390

or mail to: National Alliance for Accessible Golf

National Center on Accessibility
12100 Sunset Hills Road, Suite 130
Reston, VA 20190
(703) 234-4136 Voice
Comments: info@accessgolf.org

NOTE: All contributions are tax deductible.

First Name:
Last Name:
Mailing Address:
City:
State:
Country:
Zip:
Telephone:
Fax:
E-Mail:

*YES, I am a friend of golf for people with disabilities! (Check the category and/or write-in the appropriate amount)*
	Individual ($25)
	Group/Organization ($150)
	Here is more... I believe in what you are doing!
*Please check method of payment:* Mastercard Visa Check If paying by credit card, please complete the following:
Credit card #:
Expiration date:	Year
*Please print name exactly as it appears on card:*
First Name:
Last Name:
Authorized Signature: ___________________________________