[Ohio-talk] Take The Challenge!

[Suzanne Turner]

Ohio,

 

Below is the PAC Form 2018. I just sign-up a few of my members. Take the
challenge and sign-up today. If you only can spare $10 per month, it would
be greatly appreciated and will be used in a wonderful way. Whatever you can
give, it will be to support the efforts of the National Federation of the
Blind. Cleveland had 4 Kenneth Jernigan Scholarship recipients this year and
others were from around the State of Ohio. That funding is supported by
donors and contributions. So, consider and get on the PAK Plan today!

 

You can email your form.

 

////

PAC Form 2018.pdf

NATIONAL FEDERATION OF THE BLIND 

PRE-AUTHORIZED CONTRIBUTION 

Current Status: r Active r Inactive r Increase or r Decrease $ ___________
per month 

Welcome to the National Federation of the Blind's Pre-Authorized
Contribution (PAC) program. Your donation will help the blind live the lives
they 

want. By providing your financial information and signing this form, you are
agreeing that once a month the National Federation of the Blind may 

deduct the amount you specify from your checking account or charge your
credit card the amount you indicate. All fields for your preferred 

donation method and authorizing signature are required. 

Bank Account Information: 

Withdraw Date check one r 10th or r 20th 

Account Holder _______________________________ 

Amount to Withdraw $ _____________________________ 

Bank Routing Number ___ ___ ___ - ___ ___ ___ - ___ ___ ___ 

Checking Account Number _______________________________ 

Bank Name _______________________________ 

Credit / Debit Card Information: (Please print neatly.) 

Withdraw Date check one r 10th or r 20th 

Card Holder ____________________________________ 

Billing Address ____________________________________ 

City, State, Zip ____________________________________ 

Amount to Charge $ ______________________________________ 

Credit Card Number ____________________________________ 

Expiration MM/YY _________________ 

Mailing Address ____________________________________________________ City,
State, Zip __________________________________________________ 

Phone _______________________________________________________ Email
______________________________________________________________ 

Signature _______________________________________________ Date
______________ 

Return to: Treasurer, National Federation of the Blind, 1800 Johnson Street,
Baltimore, MD 21230 Email: pac at nfb.org 

LBP39P Rev. 6/18 

Tell us how you would like your PAC Plan recognized - name and state:
(Please print neatly) 

ID# PAC-____ ____ ____ ____ Name(s)
_____________________________________________________________________ State
_____________________