My tax-deductible gift of __$100  __$75   __$40  __$25  __Other is enclosed.

___I prefer to spread my gift throughout the year. Please send me a reminder notice of my pledge:

___Quarterly

___Semi-annually

___Annually

___I would like to make an Expressive Gift. Please send a card for the following occasion (please check one):

__Birthday   __ In Memory Of (name)_________________________

__New Baby  __ In Honor of   __ Mother’s Day  __ Holiday  __ Just Because

Recipient Name_______________________________

Address_____________________________________

City___________________State________ZIP______

___I have enclosed a check made payable to Sierra Adoption Services.

___I would like to make a gift using my Visa or MasterCard:

___Visa___MasterCard number__________________

          Expiration date_________________

___I would like to participate in Electronic Funds Transfer. I have printed out and completed the form, and have enclosed a check for my first month’s gift. Click here to print the form for Electronic Funds Transfer.

Please print your name and your spouse’s name (if applicable) as you would like it to appear in recognition listings:

Name_____________________________________________

Address___________________________________________

City___________________State_________ Zip___________

e-mail_________________Phone_______________________

Signature__________________________Date____________

     Sierra Adoption Services
     8928 Volunteer Lane, Suite 240
     Sacramento, CA 95826
     Attn: Development Department
     Fax (916) 368-5157

You can also E-mail your pledge to Bobby Cobbs at bcobbs@sierraadoption.org. or call at 916/368-5114(Be sure to include your name, address and pledge amount in the message text.)