Support HOPE Services

Please print out, complete, and mail this form with your check or money order to:

HOPE Services
Attn: Wilfredo Lacro
30 Las Colinas Lane
San Jose, CA 95119

Thank you for your support!

Name _________________________________________________________________

Street ________________________________________________________________

City ___________________________________ State _____ Zip ________________

Telephone ______________________

E-mail _________________________________
          (must have if electing to receive Donor E-Mail)

Amount Donated ________________________________________________________

Please check here if:

_____ I prefer not to be listed publicly as a HOPE Services Supporter
_____ I prefer not to receive the quarterly Donor E-Mail