AIDS EMERGENCY FUND - Gift / Pledge Card

 1)  Fill in this form, then print it.
 2)  If using credit card, sign below.
 3)  Mail it to AEF.
  For more info: 415-558-6999  Ext. 3

    AEF
    965 Mission St, Suite 630
    San Francisco, CA  94103

Count on me to support the AIDS Emergency Fund with a gift of:

Amount

  $25  $50  $100  $250  $500  $1000    Other $

Monthly/Single

      I would like to make a monthly credit card donation of this amount.

      I would like to make a single credit card donation of this amount.

      I have enclosed a check, payable to AIDS Emergency Fund.

Credit Card                               VISA    Master Card

     Credit Card #:      Exp Date: 

 

            Signature:  ______________________________________

Contact Info

                  Name:  

 

              Address: 

 

                     City:  

 

                    State:      Zip:  

 

                    Email: 

  

    Daytime Phone:    Evening:

Memorial

                               Please make my gift...

                               In Honor of   In Memory of 

                              

After filling in this page, please print it and mail it to AEF.

Thank you for supporting AIDS Emergency Fund!