Please keep this top portion for your records.

How to Join . . .

1.   Use the form below to indicate the amount you want to contribute each month from your checking account to Sierra Adoption Services.

2.   Sign your name and indicate the date.

3.   Return the completed enrollment form with your check for this month's gift to:

Sierra Adoption Services
8928 Volunteer Ln., #240
Sacramento, CA 95826

Your gifts will begin transferring in about four weeks.

PMK is an ongoing contribution method, and each gift will appear on your bank statement. You may increase, decrease or suspend your monthly gifts, by calling Sierra Adoption Services at (916) 368-5114.
Record your monthly gift:$_____________
All gifts provided to Sierra Adoption Services originating as ACH transactions comply with US law.

__________________________________________________________

Yes, Sierra Adoption Services can count on my support!

Please transfer $______________each month.

Please transfer my monthly gifts from my checking account in the amount indicated. A check for my first month's gift is enclosed. I understand that my future monthly gifts will be transferred directly from my account and each gift will appear on my bank statement. I can increase, decrease or suspend my giving simply by contacting Sierra Adoption Services at (916) 368-5114.

Signature____________________

Date_________________________
_____________________________________
Name

_____________________________________
Address

_____________________________________
City

_____________________________________
State

_____________________________________
Zip

_____________________________________
Phone

_____________________________________
E-mail

All gifts provided to Sierra Adoption Services originating as ACH transactions comply with US law

Thank you for your generous support!