Jewish Family and Children's Services
of San Francisco, the Peninsula, Marin and Sonoma Counties
2150 Post Street
San Francisco, CA 94115-3004

"Tribute" Gift Mail-In Form

Your donation to Jewish Family and Children's Services may be earmarked:

Services:
Where most needed
For seniors
For children
For émigré assistance
For emergency food and shelter
For the Holocaust Survivors Support Fund
For the AIDS Project		 For Parents Place
For the Adoptions program
For the Dream House (transitional shelter)
For the Disabilities Project
For Utility Workshop (jobs)
For another use (please specify):
____________________________________
Location:
Where most needed      In San Francisco      On the Peninsula      In Marin      In Sonoma
Donor Information: (Please print)

Name  __________________________________

Address ________________________________

_______________________________________
 Send Acknowledgment to: (Please print)

Name  __________________________________

Address ________________________________

_______________________________________

In honor     In memory     of _____________________________________
Payment:
Check        MasterCard        Visa        Amount $ ____________________________

Credit Card Number: _________________________________    Expiration Date:  _________

Name as it appears on credit card: _______________________________________________

Signature: __________________________________________________________________

Please provide a telephone number and/or e-mail address, in case we have questions about your donation:

___________________________________________________________________________
Check here if you do not want your name printed in the JFCS Annual Report.
Check here if you do not wish to receive information about JFCS.
Your contribution is fully tax deductible under IRS Guidelines. If you have any questions, please call
(415) 561-1237 or send us e-mail to development@jfcs.org.
Thank You!