Individual Donation Form

(Please print out and complete)

Please enclose this form with your donation payable to FARM RESCUE.  Mail to: Farm Rescue, P.O. Box 1100, Jamestown, ND 58402.

Name: ___________________________________________________________________________

Address: __________________________________________________________________________

City State, ZIP Code: _________________________________________________________________

Phone number: ______________________________________________________________________

E-mail address: ______________________________________________________________________

I would like to help farm families in a time of crisis by making a donation to Farm Rescue.

Amount enclosed: $____________________________

Farm Rescue is a 501(c)(3) tax-exempt nonprofit organization incorporated under the state laws of North Dakota.  Donations are tax deductible to the maximum extent allowed by law.  You will receive written confirmation of your donation by mail from Farm Rescue.

Thank you!