RCPC/Rockridge DVD Project Donation Form

Date _________________________

Name _____________________________________________________

Street Address _____________________________________________________

City _____________________________________________________

State _______________ ZIP _______________

E-mail (optional) _____________________________________________________

Telephone (optional) _____________________________________________________

Enclosed is a check payable to RCPC/Rockridge DVD Project in the amount of

$ ____________________

Check here to indicate donation as “Anonymous” _______

Please mail your check and this form to:

RCPC/Rockridge DVD Project

4123 Broadway PMB 311
Oakland, CA 94611

Fiscal Sponsor: Rockridge Community Planning Council. Donations to the Rockridge DVD Project are tax-deductible to the extent allowed by law, Federal Tax ID No. 94-3011284. Reminder: if your employer has a charitable gift matching program, our organization is an eligible recipient.