Donation Form

Contribution Form

The USRA is a not-for-profit, 501(c)3 corporation, recognized as the national governing body of the sport by the U.S. Olympic Committee. All cash or in-kind contributions made to the USRA are tax-deductible.

INSTRUCTIONS:
The USRA does not yet provide secure online transactions, but you may print and mail the following form to make your tax-deductible contribution to the United States Racquetball Association. To do so, please:

Either type your answers into the spaces provided before printing, or
Print a blank form and complete it by hand, making sure that all spaces are filled in.

NAME:
ADDRESS:
CITY:
STATE:
Zip or Postal Code:
COUNTRY:
PHONE (Day):
PHONE (Evening):
FAX:
EMAIL:

DONATION CATEGORIES Please allocate my donation to the following program areas [indicating percentages or amounts at right, where appropriate.		Percent (%) of total:	OR, Dollar amount:
	The Olympic Dream (unrestricted, will support a full range of programs)
	The U.S. National Team
	The U.S. Junior National Team
	The USRA Scholarship Program
	The Portable Court All donations to the portable court include periodic recognition in RACQUETBALL magazine, plus a name listing on a permanent plaque to become part of the court itself when fundraising is complete. Donation levels: Patrons: up to $249.00 Bronze Patrons: $250.00+ Silver Patrons: $500.00+ Gold Patrons: $1,000.00+
	Other (please specify)
PLEASE NOTE: Un-allocated contributions will be added to the most valuable category -- the unrestricted Olympic Dream -- which supports the widest range of USRA programs. Donations to multiple programs, without allocations, will be divided equally among chosen program areas. We thank you for your support! [Review Program Descriptions]
	Tax Deductible Donation Total $:

CREDIT CARD ACCT.#: MasterCard or VISA only
EXPIRATION DATE:
Cardholder Name: (type or print):
Cardholder Signature:

By printing, completing and submitting this form, you have indicated that you:

wish to make a tax-deductible contribution to the USRA
have enclosed a check in the proper amount, or
have authorized a credit card transaction, and
will receive a confirmation copy of this form when your donation is received and processed

Contribution Form

The USRA is a not-for-profit, 501(c)3 corporation, recognized as the national governing body of the sport by the U.S. Olympic Committee. All cash or in-kind contributions made to the USRA are tax-deductible.

To continue, print and complete the form, then mail to: USRA, 1685 West Uintah, Colorado Springs, CO 80904-2921

To continue, print and complete the form, then mail to:
USRA, 1685 West Uintah, Colorado Springs, CO 80904-2921