ATA Champions of the Future DonationPledge Form

							                        ATA Champions of the Future
                           Donation/Pledge Form
Name of Donor: ____________________________________________________________________

Donor Name to be printed in Grand Program: _____________________________________________

Address: _________________________________________________________________________

City: ____________________________________                              State: ___________ __       Zip: ____________

Phone: ___________________________                             Email: _____________________________________




Donation Amount:                  $100                  $250            $500               $1,000   Other: $_________

Payment Method:                   Check (Make checks payable to Amateur Trapshooting Association)
                                  Credit Card             Visa                Mastercard Exp. Date: _____________
                                  Card #: _____________________________ CSV: _________________
                                                                                                    (3 Digit code on back of card)

Name as it appears on card: __________________________________________________________
                                       (Please print)

Signature: ________________________________________________________________________

    Please check this box if you do not want to be publicly recognized for your donation




     Please enclose this form with check or credit card information (no cash, please) and mail to:

                                                ATA Champion of the Future
                                                  601 West National Rd.
                                                   Vandalia, OH 45377

You will receive a letter confirming the tax-exempt status of your donation once it has been processed by the ATA.
Thank you for you generosity and support - All donors will be listed on the ATA web site unless you wish to remain
                                anonymous - Your privacy will be honored accordingly.