CONTRIBUTION FORM

Name ____________________________________________________

Address __________________________________________________

City ______________________ State ________ Zip ______________

Daytime Phone Number ______________________________________

Evening Phone Number ______________________________________

E-mail ____________________________________________________

I would like to make a contribution to the Hanover County Branch National Association for the Advancement of Colored People (HCBNAACP) in the amount of $____________________.

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

Please mail this form/payment to:
Hanover County Branch NAACP
Attention: Development Office
P. O. Box 2112
Mechanicsville, VA 23116

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