Please print this form and mail it, along with your contribution, to :
Just Harvest
16 Terminal Way
Pittsburgh, PA 15219
Count me in! I want to help Just Harvest bring an end to hunger and economic injustice. Here is my contribution :
Name(s) :
__________________________________________________
Address :
__________________________________________________
City : _____________________________ State : _______
Zip : _______
Day Phone : _____________________
Eve Phone : ________________
Occupation : __________________
Workplace : __________________
| ___ $25 Individual Membership ___ $35 Supporting Member ___ $5 Low-income Member | ___ $50 Patron Membership ___ $100 Sustainer ___ Other $ ___________ |
___ I want to fight hunger all year round. I will pledge $ ______ each month.
___ I want to volunteer. Please call me.
| Credit Card Users Only - Check one : | ___ Visa ___ Novus | ___ Mastercard ___ Discover |
Account Number : ________________________________________
Expiration Date : ____ / _____
Authorized Signature :
______________________________________
To support Just Harvest's advocacy and lobbying programs, make your check payable to Just Harvest. These gifts are not tax-deductible. To make a tax-deductible contribution to our hunger education programs, make your check payable to Just Harvest Education Fund.
Copies of Just Harvest's official registration and financial information may be obtained from the PA Department of State by calling toll-free, within Pennsylvania, 1-800-732-0999. Registration does not imply endorsement.