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


__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


Name  ____________________________________________________________

Credit Card #_______________________ Exp Date: ____________ CVV#_____

Name  ____________________________________________________________

Phone_____________________ Email __________________________________

Signature ________________________________Date: _____________________


__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.)


I am making this gift

__to honor ___________________________________________________ (name)

__in memory of ________________________________________________(name)


Please send acknowledgement of this donation to

__me,  and to:

________________________________________________________ (name)


and/or Street Address_________________________________________________

__My employer will match this gift. Employer name____________________________


Support Northampton Neighbors today.

 ●Online Giving: visit 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:  Find a volunteer application at


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