Please return this completed form to the address below.
CAPITAL CAMPAIGN You may fax to 415.703.0125.
DONOR INFORMATION (Please print clearly exactly as you wish to be acknowledged)
Street Address City/State/Zip
Phone Email Please keep this gift anonymous
Make your gift a memorial or tribute.
In Memory of In Honor of
This gift will be matched by Matching gift form attached
CHECK Enclosed is my gift of $ payable to Holy Family Day Home
PLEDGE I would like to pledge a total of $ Enclosed is my initial payment of $
Please invoice $ every month(s)
CREDIT CARD Visa Mastercard American Express
Account Number Expiration Date
Monthly Donation Amount $ Single Donation Amount $
Name on card (please print)
I authorize Holy Family Day Home to debit my credit card account.
You can also donate online. We are a 501(c)(3) organization. Federal Tax ID 94-1156492. Donations may also be made in the form of stock or
wire transfers. Please contact us to obtain the proper forms. We also have information on how to include Holy Family Day Home in your estate
plans. All donations are deductible to the fullest extent allowed by the IRS. If you have any questions, please call 415.565.0504 x201 or email
299 Dolores St. · San Francisco, CA 94103 · 415.565.0504 · www.holyfamilydayhome.org