Level of donation or membership gift:

Donation:

$1000*   $500    $250   $100    $50   $25   Other $

* includes membership in Vista Hill Associates

Please use my gift:

Vista Hill Special Ed & Training Program: Stein Education Centers/Circle of Friends

Vista Hill Family Recovery Programs: Don Allen ParentCare Family Recovery Center/SAFIR (Supporting Adolescents & Families in Recovery)/Vista Hill Apartments and Geisel Activity Center/JAM (Juvenile Assessment & Monitoring Program)

Vista Hill Family Support & Treatment Programs: LAC (Learning Assistance Center)/On Track/EXCEL/KIDCO/Changes/Parenting Skills/B4

Vista Hill Associates (gift of $1,000 or more, with membership benefits):

$1000  $2500    $5000

Vista Hill 2000+ (corporate gift, with membership benefits):

Corporate Supporter $2,000 Corporate Friend $3,500 Corporate Sponsor $5,000

Corporate Benefactor $7,500 Chairman's Circle $10,000

Women's Council on Mental Health (annual membership with benefits):

Ruby Level $50 Sapphire Level $250 Emerald Level $500 Diamond Level $1000

Circle of Friends (donation to benefit Stein Education Center, with annual benefits):

Bronze Circle $100 Silver Circle $250 Gold Circle $500 Platinum Circle $1000

Additional Options:

My company will match this gift. Company Name:

This gift is in memory of (name):

In honor of (occasion):

Please notify honoree (amount of gift will not be included):

Name:

Address:

More about giving to Vista Hill:

Heritage Society

Please contact me at: Daytime phone: - - x

I have included Vista Hill as a beneficiary in my estate plan

I am interested in benefiting Vista Hill through my estate plan

I would like to become a member of the Heritage Society

I am already a member of the Heritage Society

Gifts of Stock or Vehicles

I need transfer instructions for donating stock

I would like to donate a car/boat

________________________________________________________________________

Name:

Address:

City: State:  Zip:

Daytime phone: - - x

Check: Please make check payable to Vista Hill and mail to: Friends of Vista Hill, 8787 Complex Drive #200, San Diego, CA 92123

Credit Card:    Visa MasterCard American Express

Card Number:   Expiration Date: Month January February March April May June July August September October November December Year 2002 2003 2004 2006 2007 2008 2009 2010

Signature: ___________________________________________

All contributions are tax deductible to the extent allowed by law. For information call (858) 514-5151 or 514-5153. Thank you!