Trail Blazer

Contact Information

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Middle

Last Name*

Address*

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Home Phone

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Cell Phone

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Work Phone

Ext
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Email*

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Comments

Information Required by Federal/State Law

Employer*

Occupation*

IMPORTANT

I am a US Citizen or Permanent Resident
I am donating my own money
I am not making this contribution in the name of another person
I am 18 years of age or older

If there is an occupation/employer: state law requires that we use our best efforts to obtain and report the name, mailing address, occupation, and employer for each individual whose contributions aggregate in excess of $100 in a reporting cycle.

Contributions to Tennessee Firearms Association Legislative Action Committee are not deductible as charitable donations for federal income tax purposes. Cash contributions cannot be accepted. Contributions from foreign nationals are not accepted.

Payment Information ( Name on Card ) Note: Address above must match Credit Card.

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Last Name

Credit Card
Expiration Date
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Card Code

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