YES, I/we wish to support Amherst Neighbors to make a difference in the lives of
Amherst and Pelham seniors. All gifts are tax deductible as permitted by law.
Enclosed is my check for $_____________
Name(s)_______________________________________________________________
Street Address__________________________________________________________
City_________________________State_________________Zip Code_____________
Telephone__________________________Email_______________________________
Please tell us if your gift is to honor or remember others:
Name(s) to be honored___________________________________________________
Reason (for example “in memory of”, birthday, anniversary)
______________________________________________________________________
Should we notify anyone of your gift? If so, provide name and address:
______________________________________________________________________
Please make your check payable to Amherst Neighbors and mail it with this form to:
Amherst Neighbors, PO Box 3428, Amherst, MA 01004.
Thank you for your generous support!