Donation Form  
   
 

For your convenience, we also offer **secure online giving**.

To donate by mail, please complete this form and return it to:
Family & Children Services
Development Department
375 Cambridge Avenue
Palo Alto, CA 94306
Tel: 650-326-6576

Printable PDF

Yes, I will help build stronger communities!
I offer my tax-deductible support at the following level:

___

President’s Circle

$10,000

 

___

Supporter

$500

___

Family Circle

$5,000

 

___

Friend

$250

___

Benefactor

$2,500

 

___

Associate

$100

___

Patron

$1,000

 

___

Other:

$______

 

 



 

 


Name ____________________________________________________
Telephone __________________________  Email  _______________________________
Address _________________________________________________________________
City _______________________________ State ________  Zip _____________________
Today’s Date ________________________

__ My check payable to Family & Children Services is enclosed.
__ Charge my gift to my Visa or Mastercard:
Account #_______________________________
Name as it appears on card: _________________________________________________   
Exp. Date: _______________     Billing zip code: _______________

Signature: _______________________________________________

Special Instructions:
__ Pledges: Bill me or charge my credit card $_____ on a __ monthly __ quarterly basis for a total annual gift of $ _____.
__ I would like my gift to remain anonymous.
__ I would like my gift to be in honor / in memory of _______________________________.
Send a card acknowledging my gift to (name and address): __________________________
 _____________________________________________________________________

__ I would like to receive information about bequests, making a gift to the Endowment Fund, or contributing real estate, stock, or securities.

Thank you for investing in us!

 

 
 
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