Join the Monthly Donation Club

The Monthly Donation Club is a special group of donors that supports Huckleberry Youth Programs with automatic monthly contributions.  This steady source of support enables HYP to plan ahead and ensure that we can fund the critical programs for at-risk youth and their families in the Bay Area.  There are many advantages to joining:

• Easy to join:  Simply complete and mail in the enrollment form.
• Convenient:  Your gifts are processed automatically around the 15th of each month and will appear on your credit card statement.  You never have to write a check or remember to renew your support.
• Reduced paperwork and administrative expenses:  Your generous gifts reach even more youth.
• Email updates*:  Club members receive HYP Updates, our quarterly email about programs, activities and how your donations are being used.
• Flexibility:  If for any reason you wish to change or cancel your contribution, just call us at (415) 668-2622 ext. 211, and we will gladly accommodate you.

*Requires email address. It will not be shared or sold.

Monthly Donation Club Enrollment Form

YES, I would like to make my support count even more by joining the Monthly Donation Club.

My monthly gift will be:

[ ] $83* [ ] $50 [ ] $25 [ ] $15 Other $_______ (minimum $5 per month)

Name ____________________________________________________________________

Address __________________________________________________________________

City, State, ZIP _____________________________________________________________

*You become a Friend of Huckleberry, a member of our major donor-giving program!

Payment Information

I authorize Huckleberry Youth Programs to transfer the amount indicated above each month. This

authorization will remain in effect until I notify Huckleberry Youth Programs that I wish to end this

agreement, and they have a reasonable amount of time to act on my instructions.

[ ] Visa [ ] MasterCard

Account number _____________________________________________ Exp. date ___________

Signature______________________________________________________________________

In case we need to contact you regarding your monthly gift, please provide:

Daytime phone ____________________________ Evening phone _______________________

E-Mail address ________________________________________________________________

[ ] I am an employee. Please contact me about payroll deductions.

Please note:

• A record of each payment will be included on your monthly credit card statement and will serve as your receipt.

• If you ever want to increase, decrease or suspend your monthly gifts, please call us at (415) 668-2622 ext. 211.

• All gifts are tax-deductible as allowed by law.

Please return this enrollment form to Huckleberry Youth Programs. Thank you!

3310 Geary Boulevard

San Francisco, CA 94118

Phone: (415) 668-2622

Fax: (415) 668-0631

Email: hmathews@huckleberryyouth.org