Please contact me about securing SPARC's future through my will, a trust or a charitable gift annuity.

 Please contact me about a gift of securities or real estate which can provide lifetime income plus tax benefits.

Name: _________________________________________________________

Address: _______________________________________________________

City: __________________________ State: _________ Zip: ______________

Phone: ____________________ E-mail address: __________________________

 Yes, you may publish my name in the annual donor list as shown below

 No, I prefer to remain Anonymous

 I (we) prefer my name(s) to be published in the following way:
______________________________________________________________

Amount of your donation: $ _______________________________

Please charge my credit card.  Visa    MasterCard    Discover

Account # : ________________________ Exp Date:__________

Print Name:_________________________

Street #: (where you receive the credit card bill) ____________________

Zip Code: (where you receive your credit card bill) ___________________

Signature:__________________________________

Return this page with your tax-deductible gift and make checks payable to: