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YES, I WANT TO MAKE A DIFFERENCE!
To donate by mail, please print out the form below
and send it with your check or money order to:
ACCION New Mexico
20 First Plaza NW, Suite 417
Albuquerque, New Mexico 87102
Please make checks and money orders payable to ACCION New Mexico.
Last Name:___________________________________
First Name:__________________________________
Middle Initial:______________________________
Company:_____________________________________(if applicable)
Title:_______________________________________(if applicable)
Address:_____________________________________
City:________________________________________
State:______Zip/Postal Code:_________________
Country:_____________________________________
Daytime Telephone:___________________________
Evening Telephone:___________________________
Fax:_________________________________________
Email Address:_______________________________
My ___ Pledge or ___ Enclosed Tax Deductible Contribution is:
___ Corporate ___ and/or Personal ___ Anonymous
For the amount of: $___________ U.S. Currnecy
____I/We work for a company with a Matching Gifts
Program. This gift will be matched by:
_____________________________________________
Please Recognize My Contribution as Follows
(Donor Recognition Listing):
_____________________________________________
NAME(S) OR COMPANY (IF APPLICABLE)
_____________________________________________
SIGNATURE DATE
To donate by phone, please call the Resource
Development Department at ACCION New Mexico at 1-(505) 243-8844.
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