DIRECTIONS: Please enter your information in the form below and send it along with your check or money order to Donald Duncan (address on the form). If completing the form online, after filling it in print the form for mailing, then click the SUBMIT button at the bottom of the page.

Membership Level (Please check one):

The Southport Island Association (SIA) received tax exempt status under section 501 (c )(3) of the Internal Revenue Code by the Internal Revenue Service on August 17, 2007. The IRS determined that SIA is a public charity because it distributes all its annual income after expenses to other charitable or government organizations, and to individuals who require emergency financial assistance.

We welcome your consideration of tax-deductible giving to allow us to provide a greater response to Island needs.

If your tax deductible donation is for $25 or more and designated for the Neighbors-In-Need fund, IT WILL BE MATCHED!

Please contact Donald Duncan, SIA Treasurer, for information on donations other than by cash such as shares of stock or other securities.

I include an additional, tax-deductible donation of $

If your donation is for $25 or more and you wish this matched, please check the box to the right:

TOTAL ENCLOSED: $

Please make check(s) payable to SIA and mail completed form and check(s) to: Southport Island Association, P.O. Box 505, Southport, ME 04576

CONTACT INFORMATION

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In 2009, I'd like to help SIA (check as many as you like!)

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