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


We don’t charge a membership fee and your tax-deductible donation 

helps all our Northampton Neighbors.


  • One-Time Donation. Your contribution supports people and programs in your neighborhood.

I have included my donation of  □ $10  □ $25  □ $50  □ $100  or $______Other


Name  ________________________________________

Address _____________________________________________________________



  • Ongoing Donation. Become a Long-Term Sustainer of Northampton Neighbors

    I have included my donation of: □ $10  □ $25  □ $50  □ $100  or $______Other


    Please deduct this amount: monthly or annually (please circle one

    from my bank account beginning on the 15th day of the month of _________ 2019,

    and ending when I notify you.
    My Bank Account Number__________________________________
    My Bank’s Routing Number_________________________________

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

    Name exactly as it appears on my bank account:_____________________________

    Name  ____________________________________________________________

    Address ___________________________________________________________

    Phone_____________________________Email ___________________________

    Signature _______________________________ Date: ______________________


  • You can make a One-Time or Sustaining donation on our website:



  • Tell me more about:

    □ donating securities □ including NN in my estate plans □ In-kind services 


  • You can also donate your time and skills: Volunteering with Northampton Neighbors is fun and rewarding. Please download a volunteer application at or call (413) 341-0160


Please complete and return this form to:

Northampton Neighbors PO Box 231, Northampton, MA 01061

 (413) 341-0160 and


Northampton Neighbors (NN) is a 501(c)(3) nonprofit organization  12/18