Please print this form.  Once completed, mail the form and your contribution to:

People Funding People
8 Wayne Blvd.
Madison, NJ 07940

Please accept my tax deductible contribution of:

___$50   ___$75   ___$100  ___$200     Other:______

(Please make check payable to People Funding People.)

Your name:

_____________________________________________________________

Address:

_____________________________________________________________

City_____________________   State ______   Zip _________

Email Address:_____________________________________

* People Funding People does not share your information.  Visit our website and see our privacy policy.

Is this contribution a gift or a memorial?  ____Yes  ____No

If yes, we will send a letter with your personal message and more information about the project you have chosen to your recipient.  Please provide the following information:

Recipient address:

Message for recipient:

Thank you for your generosity!

Upon receipt of this form, a People Funding People volunteer will contact you with more information about your project.