CONTRIBUTION FORM

Name ____________________________________________________

Address __________________________________________________

City ______________________ State ________ Zip ______________

Daytime Phone Number ______________________________________

Evening Phone Number ______________________________________

E-mail ____________________________________________________

I would like to make a contribution to the Stafford Branch National Association for the Advancement of Colored People in the amount of $____________________.

I have enclosed a check or money order for the amount above.
(Please make checks payable to the Stafford NAACP)

Please mail this form/payment to:
Stafford NAACP
P.O. Box 160
Stafford, Virginia 22554
Attention: Development Office

For more information about the NAACP please visit our website at www.staffordnaacp.org