Address:_________________________________________________________________

________________________________________________________________________

Yes, I want to support the Coalition on Homelessness. I will:

Make a one-time gift of:

$10

$25

$40

$50

$75

$100

$200

$500

Other:$__________

Make a pledge:	quarterly	monthly
Each time I will contribute:	$200	$100	$50	Other:$__________

Become a STREET SHEET underwriter:
Minimum contributions for underwriters are $50 per month. Choose to pay monthly, quarterly, or yearly.
I will contribute: $____________	monthly	quarterly	yearly

I would like to purchase Coalition on Homelessness merchandise:
Black T-shirts:	($12.00 each)	qty:____	size: S - M - L - XL
White T-shirts:	($10.00 each)	qty:____	size: S - M - L - XL
Sowing Seeds of Peace cards	($15.00/pack of ten)	qty:____
Parlor Game cards	($15.00/pack of ten)	qty:____
Uprisings cards	($15.00/pack of ten)	qty:____

Shipping is $2.50 per order, first class mail only.

Total enclosed:$_________________ (check payable to Coalition on Homelessness)

Charge my Visa or Mastercard:_________________________________ Exp:_____

Name on card:_______________________________________