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The Community Service Society of New York urgently needs your support to give the underprivileged of our city a chance to succeed. Please send your tax-deductible gift today — so our neediest neighbors won't be left behind.
To make your gift, please print and fill out this form, then fax it (with your credit card information) to: 212.260.6218 or mail it (with your check, money order, or credit card information) to:
Community Service Society of New York
Attn: Brian Robinson
105 East 22nd Street
New York, NY 10010
Make checks payable in US dollars to: Community Service Society of New York.
Donation ____ $25 ____ $35 ____$50 ____ $100 ____$250 ____Other.
Please Choose One: Mr. Ms.
Name ______________________________________________________
Address ____________________________________________________
City ________________State/Province ________ Zip ____________
Country ____________E-mail __________________________________
For credit card donation, please provide this additional information:
Name (as it appears on card) ____________________________________
Credit Card Number ____________________________________________
Expiration Date __________ (MM/YY) Security Code ________________
Credit Card (circle one): MasterCard | VISA | American Express
Signature ____________________________________________________
WEB11F
Your company may match your gift to the Community Service Society. Check with your employer's personnel office - they may double or even triple your gift. Fill out the employee section of the form and then mail it to the following address:
Community Service Society of New York
Attn: Brian Robinson
105 East 22nd Street
New York, NY 10010