Please print this page, complete the information, and mail your donation to:

P.O. Box 6008
Penacook, NH 03303

I gladly support the Penacook Community Center's efforts to assist children, adults and seniors in our community.

Enclosed is my tax-deductible contribution in the amount of:
____$25 ____$50 ____$100 ____$250 ____$500 ____$1000 Other $____
*My employer has a matching gift program, my gift will be matched by _____________________________.

The Penacook Community Center sincerely appreciates gifts of any amount.

Please make checks payable to Penacook Community Center.

We would like to thank you in a future mailing. Please list your name(s) below as you prefer to be acknowledged.

Name __________________________________________________________
Address __________________________________________________________
Phone __________________________________________________________

_____ Please send me information about the Penacook Community Center
_____ Please send me a written acknowledgement of my gift
_____ I wish to remain anonymous

Thank you on behalf of all who are served by the Penacook Community Center

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