Wufoo
Pledge
Recognizing that MIDDLETOWN AREA SENIOR CITIZENS, Inc. is an important asset to our community, and in consideration of the gifts of others, I / We understand that this tax deductible gift will be used solely for the purpose of reducing the debt on our New Senior Citizens Center.
Please make checks payable to MASC
Name
*
First
Last
Are you a member
Payments to be made:
Annual
Semi - Annual
Quarterly
Other
Payment Period
1 year
2 year
3 year
4 year
5 year
Donation Amount
*
$
Dollars
.
Cents
Email
I prefer to make my donation anonymously.
Please sign me up for the newsletter.
I wish to volunteer to help with the fundraising.
Additional Comments
Do Not Fill This Out
Wufoo
Powered
Wufoo
Powered