Be a Sustaining Member — The Vermont Progressive Party

We will never raise as much as the other corporate funded parties, but with hundreds of monthly members like you across Vermont we can have the resources we need to deliver our message of economic, social, and climate justice across Vermont. Sign up as a monthly donor.

sign up for automatic dues through your bank account

This is the best way to donate and avoids bank/credit card fees so more of your money goes towards supporting our movement.

I, First Name Last Name, authorize the Vermont Progressive Party (VPP) to electronically withdraw funds monthly from the following accounts:
Name of Financial Institution*
Type of Account*
Routing Number*
Account Number*
Amount Per Month*
Day of Month that you would like the withdrawal to be made*
Address*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Email*
example@example.com
By signing this form, you authorize the Vermont Progressive Party (VPP) to initiate monthly debit entries to the account at the bank named in this form. The authorization is to remain in effect until revoked by the VPP or until the VPP has received written notification from you of its termination. The notice of termination must be given reasonable time for the VPP to act prior to its effective date. To make changes to this agreement please contact the Vermont Progressive Party at (802) 828-7109‬ or info@progressiveparty.org.

By signing this form, you also agree that you understand and acknowledge all ACH (Automated Clearing House) debit entries authorized by you will be conducted according to National Automated Clearing House Association (NACHA) rules. You further acknowledge that the origination of an ACH transaction must comply with U.S. law.
Name as it appears on your bank account*

First NameLast Name
Signature: Click and drag to draw your signature

Clear
Date*

MonthDayYear
Date
Should be Empty:

Now create your own Jotform - It's free!Create your own Jotform

sign up for automatic dues thorugh anedot

This is a good way to donate if you want to contribute through your credit card, but we pay more in fees for these transactions.

sign up for automatic dues through your bank account

sign up for automatic dues thorugh anedot

Paid for by the Vermont Progressive PartyPO Box 281, Montpelier, VT 05602

Paid for by the Vermont Progressive Party
PO Box 281, Montpelier, VT 05602