April 12th, 2009

Contribute

AGHCA has a 501(c)(3) tax status and, accordingly, contributions to AGHCA are deductible for income tax purposes to the extent permitted under applicable law. Contributions may be mailed to AGHCA, P.O.Box 494, Chilmark, MA 02535. Or, if you prefer, you can make contributions by credit card by providing us (by writing to the same address) with your VISA, Mastercard or American Express details (account number, expiration date, full name on the account, full billing address and amount of contribution). In all cases, please provide us with your mailing address (so we can send you a receipt thank you letter for your tax files) and your email address (so we can keep you informed about on-going events and issues in Aquinnah).

Please print out this form and use it to include your information, then mail it with your check or credit card information. The email entry section at the bottom can be submitted electronically.

Our current financial needs are great, and many thanks in advance for making a contribution!!

Benefactor: $5000 and above

Patron: $2500 – $4999

Sponsor: $1000 – $2499

Supporter: $500 – $999

Friend: $100 – $499

Other: $ _______

 

My check is enclosed, payable to Aquinnah/Gay Head Community Association, Inc.

Please charge my
Amex
Visa
MC
Account # ___________________
Exp. Date: __________
Signature: __________________________
Name as it appears on card: ________________________
Full billing address: ________________________
________________________

Please include your email address below so we can keep you up-to-date about current events and developments. We will NOT provide any of your information to anyone, and we will NOT be “publishing” the names of our donors.














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