CITY HARVEST RESCUE PARTNERS

Step 1: Enter Contact Information

First Name:

Last Name:

Phone: example: 917-351-8700

Email:

Fax: example: 917-351-8700

Step 2: Choose Your Pledge Level

• $10
• $15
• $25
• $50
• $100
Other

Other: (suggested minimum $10)

Your first month’s donation will be processed online today. To ensure the security of subsequent monthly transactions, our Associate Manager, Donor Systems, Homaira Ortiz, will contact you to send you an additional form so that we may collect your credit card information for monthly payments.

Step 3: Authorization

By clicking the box below, I hereby authorize City Harvest, Inc. to either charge my credit card or debit my bank account each month in the amount of the pledge indicated above. I understand that I have the right to change or cancel this agreement at any time upon giving City Harvest 30 days notice. A record of each gift will appear on my bank or credit card statement and will serve as my receipt.

I have read and agree to the authorization term above.

YOURS FREE! In appreciation for becoming a Rescue Partner, you’ll receive a FREE copy of City Harvest’s Great Food, Good Hearts Restaurant Guide. Now you can eat great while also supporting the restaurants that support our work to help feed hungry New Yorkers