Donation Form
Please mail the completed form with a check or money order to:

ETTAC
4918 North Broadway
Knoxville, TN 37918
http://www.discoveret.org/ettac
Phone: (865) 219-0130  Fax: (865) 219-0137
rmraulston@comcast.net

I would like to be a partner in the promise of technology for people with disabilities.

I enclose my gift of:

(  )  $10          (  )  $20          (  )  $35          (  )  $50          (  )  Other  $ _______

Name : ____________________________________________________________

Street Address:  _____________________________________________________

City: __________________________________   State:  _____  Zip: ____________

Phone:  ___________________

Pledge Form
Please provide the following information and mail to:

ETTAC
4918 North Broadway
Knoxville, TN 37918
 http://www.korrnet.org/ettac
Phone: (865) 219-0130  Fax: (865) 219-0137

OR, you may email the following information to: rmraulston@comcast.net