Contribution Form

YES!
I want to help keep our community a great place to live, work and raise families!

I/We wish to contribute:

 ___$50  ___$100   ___$200   ___$1,000    Other_________

Please make check payable to NYFS, or charge to:

___VISA   ___MC   Card# ___________________________

Expiration Date ________________________

Signature ________________________

I/We wish to designate a donation for:

Name(s) ________________________________________________________

Address ________________________________________________________

City ____________________ State ________________ Zip ________________

Day Phone ________________         Email _____________________________

If you would like to receive communications electronically, please fill in your email address.

___ I would like to learn more about giving to NYFS in my will or estate.

___ I would like to learn more about giving through an automated monthly payment..