MPBC 2020 Tax Year Contribution Letter Request
Your contribution letter will be available for pickup once a week on Wednesdays between 10:00 AM – 2:00 PM in the Secretary’s office, mailed, or emailed per your request. If you would like someone to pick up your contribution letter you must send your request in witting to the Financial Secretary. **Masks and a picture ID are required for pickup. **
For record keeping purposes, only list one name per request. *
Required
Name (Last, First, Middle Initial) *
Contact Number *
Email Address *
Mailing Address (City, State, Zip Code ) *
How would you like to receive your Tax Year 2020 Contribution letter? *
Acknowledgment #1 *
Required
Acknowledgment #2 *
Required
Acknowledgment #3 *
Required
I understand that it is my responsibility to keep all financial information received from the Financial Secretary confidential. If the requested information is collected or disbursed by anyone, I assume full responsibility for any information shared without my consent. *
Required
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