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Please direct my contribution as indicated:
_____ General Fund; use wherever it is most needed
_____ Food Program
_____ Chestertown/Helpers Fund Food Pantry
_____ Scholarship Fund
_____ Holiday Drive

Name _______________________________________________________________

Address ____________________________________________________________________________

City ___________________________ State __________ Zip ________

Phone# (____) ___________________ E-mail address _________________________________________

Amount of contribution $ __________ Paid by check ____ credit card ____ (please complete CC information below)

MC/Visa: __ __ __ __ __ __ __ __ __ __ __ __ __ __ __ __   Exp: mo___ /yr___

Signature: ________________________________________

Print, complete and mail this page to:
The Helpers Fund
c/o Edna Wells
P.O. Box 173
Pottersville, NY 12860

Thank you for your support!

The Helpers Fund is a 501(c)3 charity under the rules of the Internal Revenue Service and is incorporated under the laws of the State of New York and listed with the New York State Bureau of Charities.

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