We don’t charge a membership fee but please consider a donation
so we can help all our Northampton Neighbors.
u One Time Donation Your contribution supports people and programs in your neighborhood.
I have included my donation of $10 $25 $50 $100 or $______Other
u Ongoing Donation-become a Long-Term Sustainer of Northampton Neighbors
I want to make an ongoing 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 _________ 2018,
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:_________________________________
Signature ________________________________________ Date: _________________
u You can make a one time or monthly donation at northamptonneighbors.org
Please send info about donating securities including NN in my estate plans In-Kind Services
We also value your time.
Volunteering with Northampton Neighbors is fun and rewarding.
Please download an application at northamptonneighbors.org or call (413) 341-0160
Please complete and return this form to
Northampton Neighbors PO Box 231, Northampton, MA 01061
(413 )341-0160 and firstname.lastname@example.org
Northampton Neighbors (NN) is a 501(c)(3) organization 11/2018 Donation Form