Just a Quarter a Day Makes a Difference
25¢ a day = $ 91.25 per year
What is the happiness and well-being of a child worth to you? Is it worth a little pocket change? Is it worth a quarter a day?

Print and Fill Out This Form and Fax or Mail to:
Southmountain Children & Family Services ▪ 7330 Myrtle Drive ▪ Nebo, NC 28761Yes, I would like to make a difference in the life of a child by pledging to give just 25¢ a day.
____ Here’s my pledge. I’ll send you my 25¢ a day periodically without being prompted.
____ Here’s my pledge, but I would like to be reminded. Please bill me for my 25¢ a day
______ quarterly ( $ 22.81 per quarter) ______ annually ( $ 91.25 per year)
____ Here’s my pledge paid in full ($ 91.25)
Name: ________________________________ Organization/Company: _____________________
Address: _______________________________ City: ____________ State: _____ Zip: ______
Phone: _____________________ Email: __________________________________________
Please send my bill by __ mail __ e-mail I ___ have ___ have not received my hand-made piggy bank
Signature: _______________________________________________________