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Please download & print the Pledge Form, enclose a check (or voided check for a Sustaining Pledge) and send both to:
Northampton Neighbors, Box 231, Northampton, MA 01061.

 


Yes! I’d like to contribute to Northampton Neighbors.

 

Please accept my donation of $10  $25  $50  $100  or  $_____Other (circle one

Check or cash is enclosed or charge my one-time gift to my credit card. (circle one

Credit Card #_______________________ Exp Date: ____________ CVV#_____

Name  ____________________________________________________________

Phone_____________________ Email __________________________________

Signature ________________________________Date: _____________________

-------------or-------------

 

Please accept my Sustaining Pledge via monthly debit to my bank account.

I authorize a debit to my account of $10  $25  $50  $100  or  $_____Other (circle one

payable to Northampton Neighbors each month beginning on the first day of next month

and each month thereafter until I notify NN to end the transactions.

You may, of course, change or cancel your pledge whenever you wish.


Name  _____________________________________________________________

Phone_____________________ Email ___________________________________

Signature ________________________________Date: ______________________

Bank name__________________________________________________________

Bank routing #_______________________Account #_______________________

(Attach a voided blank check or deposit slip to confirm your routing and account number.)

 

Support Northampton Neighbors today.

 ●Online Giving: visit www.northamptonneighbors.org and go to Donate Now tab

 ●Tell me about: donating securities □ including NN in my estate plans □ In-kind services

 ●Donate your time and skills: Volunteering with Northampton Neighbors is fun and rewarding. Download a volunteer application at www.northamptonneighbors.org

 

Please complete and return this form to:

Northampton Neighbors PO Box 231, Northampton, MA 01061

 

(413) 341-0160 and info@northamptonneighbors.org

Northampton Neighbors (NN) is a 501(c)(3) nonprofit organization

11/2019