Advocacy Form | NCPTA

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Advocacy Support Fund

Please complete the supporter (business partner) information form and select the desired non-tax deductible payment option. You may submit it online and pay electronically or by check. If paying by check, please make the check payable to North Carolina Public Transportation Association. Check should be mailed to:

NCPTA
P.O. Box 369
Olivia, NC 28368

Supporter Company Name

Supporter Address

CONTACT INFORMATION

Contact First Name

Contact Last Name

Contact Title

Supporter Contact Email

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 submission, please go to check out you may pay by check or credit card and an email confirmation will be sent upon completion. to

Enter the amount you wish to pay:

$

Thanks for submitting!

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