Advocacy Form | NCPTA

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Advocacy Support Fund

Please complete the information form below and select the desired non-tax deductible payment option on the checkout page.

You may pay electronically by credit card or by check.

If paying by check, please make the check payable to North Carolina Public Transportation Association and mail to:

NCPTA
P.O. Box 369
Olivia, NC 28368

/Supporter/Business Partner Company Name

Address

CONTACT INFORMATION

Contact First Name

Contact Last Name

Contact Email

Contact Title

Supporter Contact Office Phone

Supporter Contact Mobile Phone

Second Contact Name

Second Contact Last Name

Second Contact Title

Second Contact Email

Second Contact Office Phone

Second Contact Mobile Phone

To complete your donation, click go to check out below. You may pay by check or credit card and an email confirmation will be sent upon completion.

Enter the amount you wish to donate

$

Thanks for submitting!

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