Help Support VOP !

Yes! I want to make a contribution to help build a strong statewide citizens organization in Virginia. Enclosed is my donation:

Name <

Address

City

State

Zip

Telephone (day)

(evening)

E-Mail

Method of Payment:

Check (payable to the Virginia Organizing Project)

Mastercard/Visa/American Express (circle one)

$30

$50

$100

$250

__ $______

Credit card #

Name as it appears on card

Expiration date

Signature

Please help VOP organize more communities in Virginia by becoming a VOP Sustainer. VOP’s commitment to those who traditionally have had little voice in our society is paying off. We believe that participation in our democracy is open to all, not just a select few. Become a VOP Sustainer by filling out the credit card information above or the Authorization for electronic funds transfer below. Thank you!
Monthly Sustainer Pledge:	$10	$15	$20	$25	$__

Authorization Agreement for Direct Debit

Date:

I hereby authorize VIRGINIA ORGANIZING PROJECT to initiate debit entries on the 15th of the month to my (our) checking or savings account indicated below. This authority is to remain in full force and effect until VIRGINIA ORGANIZING PROJECT has received written notification from me (or either of us) of its termination, and such manner as to afford reasonable time to act on it.

Depository Information: If there are any changes to this, please notify us immediately.

Bank Name:

Branch:

Address:

Phone:

Account Number:

Transit/Routing (ABA) #:

Account Type:

Checking

Saving

Please attach a voided check or submit your savings account number.
Mail completed form to VOP, 703 Concord Ave, Charlottesville, VA 22903