2012 Pledge I support Cyprian’s community engagement 2011: concert series, block parties, landscaped sidewalks, kids’ events, green initiatives

2012: new community center, emerging artists series, kids music classes, sustainability projects

Donor Info (please print)

Name

Address

City

State

ZIP Code

Phone (home) optional

Phone (business) optional

E-Mail (for events updates)

Pledge Info

I support Cyprian’s community engagement. My contribution of ________ will be paid:

____ now ____ monthly ____ quarterly ____ yearly

I will make this contribution in the form of: ____ cash ____ check ____ credit card ____ other

I will ask my employer or foundation to match my gift. ___ form enclosed ____ form will be forwarded

Signature(s)

Date

You may direct your contribution to “Community Programs.” Donations are 100% tax deductible. Please make checks and matching gifts payable to:

St. Cyprian’s Episcopal Church, 2097 Turk Street, San Francisco, California 94115

Cyprian’s – a place where everyone matters