DONATION FORM

Date:

Name (Please print):

Address:

City, state and ZIP code

Email: Phone: ( )

WISH TO BE FULFILLED
Specific wish $
Person or group in need
Specific wish $
Person or group in need
Specific wish $
Person or group in need
General donation $
Note: Donations that exceed the amount required to fulfill a certain
“wish” will be used to fulfill other wishes or added to the general fund. Total (tax deductible): $

PAYMENT
Please do not send cash. To donate online, please visit: wishbook.mercurynews.com/donate
Check (make checks payable to: Wish Book Fund) Visa Mastercard American Express

Cardholder name:

Credit card no.: CVC: Expiration

Signature:

SHOWING OUR GRATITUDE

With your permission, we will include your name and/or contribution amount in donor recognition lists
in The Mercury News and on our website. Please let us know how would like your name to appear.

Include my name on published donor list Yes No

You can also make a dedication to a person, cause, or group (optional)

In honor of In memory of

MAILING ADDRESS
Please send this form and your check to: The Mercury News Wish Book
c/o MediaNewsGroup
PO Box 909
San Jose, CA 95106

OTHER METHODS OF DONATION

Wish Book accepts qualified charitable distributions, donor advised funds, gifts of stock and others.
For more information, please visit wishbook.mercurynews.com, call (925) 655-8355, or
email wishbook@bayareanewsgroup.com

Include Wish Book in your estate plans

If you would like to include Wish Book contributions in your will or estate plans, share this
sentence with your attorney or financial advisor: “I bequeath $ OR % of my estate to
Wish Book, PO Box 909, San Jose, CA, 95106; Federal Tax ID: 77-0229665.”
Check here, if you would like more information about including Wish Book in your estate plans.

Thank you!
Wish Book is a 501(c)(3) nonprofit organization operated by The Mercury News. Tax ID: 77-0229665