Contribute for George

Flexible Contribution Process

Contributions may be mailed to:

PMC-NH
Hampton Falls Village Market
PO Box 447
Hampton Falls, NH 03844

dropped off at the:

Hampton Falls Village Market
82 Lafayette Road
Post Office Square
Hampton Falls, NH

or processed on-line with:

Electronic credit card contribution using the PMC secure eGift page.

Click here for a
printer friendly pledge form

PMC-2008 (Word Format).

PMC Tax Exempt
Federal ID Number

04-2746912

o $500 o $250 o $100 o $50 o $25 o Other $________

Name:      ________________________________________________________
Address:   ________________________________________________________
                ________________________________________________________
Telephone or Email:_________________________________________________
Please Dedicate My Pledge To:_______________________________________

Please make checks payable to the PMC/Jimmy Fund
PMC Tax Exempt ID - 042746912
Hampton Falls Village Market, PO Box 447, Hampton Falls, NH 03844
82 Lafayette Rd., Post Office Square, Hampton Falls, NH