Print this form to mail or fax your gift

A gift of any amount will help us reach out and help youth and families living right here in Sonoma County.

To mail your gift, print and fill out the form, then mail it to:
Social Advocates for Youth
Attn: Community Resource Development Director
3440 Airway Drive, Suite E
Santa Rosa, CA 95403		 To fax your gift, print and fill out the form, then fax it to:
Community Resource Development Director
Fax Number: (707) 544-6837

All tax-deductible contributions make a difference:
$50    
$100   
$250
 $500
$1000

 $2000
Other $_______

Please use my gift:
Where most needed
For the Coffee House teen shelter
For the Tamayo House transitional home

For intervention and prevention programs in:
Santa Rosa    Sonoma Valley    Healdsburg    Cloverdale

My employer will match my gift. My matching gift form is enclosed.
I wish to pledge $_______, payable in 12 equal monthly installments of $_______ beginning: Month___________ Year_______
          I would like a monthly pledge reminder
          Automatically charge my credit card monthly

My check payable to SAY is enclosed
Please charge my credit card: VISA    MasterCard     AMEX

         Card Number: ___________________________ Exp. Date:___________
         
         Signature:_________________________________

Name (printed)_________________________________________________

Address __________________________ City ____________ State ____ Zip ______

Telephone __________________ E-mail ___________________________________

I prefer to remain anonymous

THANK YOU!