MAKE A DONATION
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Yes,
I want to help the Schuyler Center for Analysis and Advocacy improve
health and human services for the most vulnerable in New York State
with a tax deductible gift.
Name:__________________________________________________________________________ Title:___________________________________________________________________________ Organization:_____________________________________________________________________ Address:________________________________________________________________________ City:____________________________________________State:_______Zip:_________________ Phone:______________________________________Fax:_________________________________ Email:___________________________________________________________________________
Enclosed is my check for $____________________ made payable to SCAA. Please charge my: ______Visa ______MasterCard for a donation of $_______________________ Card#_______________________________________________________Exp. Date:__________ Card Security Code (last 3 to 4 digits on signature panel):_________________________________ Name on Card:__________________________________________________________________ Signature:________________________________________________ Date:________________ Charge card as follows:____One-time____Monthly____Quarterly____Biannually Until:___________,_________ or until further notice. month year
Donation in memory of:_____________________________________________________________ In honor of:______________________________________________________________________ Occasion:_______________________________________________________________________ Please send acknowledgement to: _____________________________________________________ Address:________________________________________________________________________ City:__________________________________________State:_________Zip:_________________ To speak with SCAA about Matching Gifts, Gifts of Stock or Bonds, Bequests, or designating SCAA as an Insurance Beneficiary, contact Robin Christenson, SCAA Vice President at (518) 463-1896 x 37 or by email at rchristenson@scaany.org
SCAA recognizes the importance of protecting your privacy. All personal information collected is provided to us voluntarily and never sold or traded to other organizations. |