Individual Giving Form

NH JAG LOGO web

Individual Gift-Giving

Please print this page and mail it with your tax-deductible contribution to New Hampshire JAG, 175 Ammon Dr, Ste 212, Manchester, NH 03103.

Yes, I want to help New Hampshire JAG support the future of a young adult in my community.

Today’s Date: _______________

Gift Amount: _______________ payable to NH JAG.

Donor Name: ______________________________________________________________

Organization Name (if applicable): _____________________________________________

Address: __________________________________________________________________

City: __________________________________ State: ______ Zip: _________________

Email (optional): ____________________________________________________________

Phone (optional): ____________________________________________________________

__ I wish to remain anonymous.

__ I would like to be contacted about making a planned gift to NH JAG.

__ I would like to be contacted about making a gift of stock to NH JAG.

__ I am making this gift in honor of _______________________________.

Contributions to NH JAG are tax-deductible to the extent allowable by law. If you would like more information on making a gift to NH JAG, please call 603-647-2300.

Thank you for supporting the young adults in your community!