Texas Construction Association PAC
1011 San Jacinto Blvd, Suite 330
Austin Texas 78701-2494 USA
512-473-3773 Phone
512-473-3777 Fax
EZ Pledge
Now joining TCA PAC is faster and easier than ever before with less immediate impact on your wallet! The new TCA PAC
EZ Pledge allows you to automatically pay your TCA PAC membership monthly. You specify the contribution amount and
the account to be charged each month. You can make your contribution on a Discover, VISA, MasterCard, or American
Express account. Your contribution amount will be conveniently charged as you direct until you make changes or cancel the
service. TCA PAC can accept only non-corporate contributions. Contributions are not deductible for federal income tax
purposes.
Member Information
□ Subcontractor
Name:____________________________________ Phone: (
□ Supplier
)_________________
Occupation:________________________________
Cardholder’s Home Address:__________________________________________________________
Street
City
State
Zip Code
Contribution Amount:
□ Check for $__________
Check #_________
□ One Credit Card Charge of
$______________
□ Monthly Credit Card Charge of $__________
Billing will occur on or about the 1st of each month. Contact TCA PAC when you want billing to cease.
Credit Card Information
Cardholder’s Name:_________________________________________________________________
□Billing address is same as home address
Card Billing Address: _______________________________________________________________
Street
City
State
Zip Code
Credit Card Type:
□VISA
□Discover
Card Number:_____________________________
□MasterCard
□American Express
Card ID Number:______________________
Expiration Date:____/____/______
Signature:________________________________________
Date:_________________________