<p> DONOR RESPONSE SHEET Print & return SIGNED form along with payment method to: JEMS/AACF 948 E Second St Los Angeles, CA 90012</p><p>NAME: ADDRESS: STATE ZIP CITY: : : PHONE: () EMAIL:</p><p>Amount as my preference being given to the following account(s): $ AACF General $ AACF – University of Southern California $ AACF – University of Washington $ AACF – UC Los Angeles $ AACF – UC Davis $ AACF – UC Santa Barbara $ AACF – UC Berkeley $ AACF – UC Irvine $ AACF – San Francisco State University $ AACF – Cal State Long Beach $ AACF – San Jose State University $ AACF – UC Riverside $ AACF – UC Santa Cruz $ AACF – UC San Diego Amount as my preference for the following campus minister account(s): (For check payments, ONLY list number on memo line) $ 37020 Chong Ahn, University of Washington (UW) & Seattle Pacific University (SPU) $ 34420 Melanie Mar Chow, Operations Director $ 34470 David Fong, UC Berkeley (CAL) $ 37010 Jonathan Liu, Director $ 34560 Arnie Ong, SF State $ 37000 Victor Quon, Director of Strategic Relations, SJSU $ 11420 Carolyn Shimabukuro, PNW Regional Director $ 37030 Chloe Chow, Intern, Social Media Coordinator</p><p>Please indicate payment method: Check (Please make payable to AACF) EFT monthly gift (See below for Electronic Bank Withdrawal authorization) Credit card – Visit https://jems.networkforgood.com to support the campus or campus minister account of your choice EFT AUTHORIZATION FORM I, (print name) agree to contribute monthly to JEMS/AACF to the accounts designated above through the Electronic Fund Transfer (EFT) program. I authorize my bank to pay JEMS/AACF the amount(s) indicated above on the 1st or 15th work day of every month. This authorization will remain in effect until I notify in writing to JEMS/AACF my wishes to change/finish contributions. Please start with the month of: on the 1st or 15th day (check choice)</p><p>SIGNED: ______DATE: ______Enclosed is my VOIDED BLANK CHECK from the bank account to be used for EFT withdrawal. DONOR RESPONSE SHEET</p><p>Thank you for supporting AACF!</p><p>As required by the Internal Revenue Service (IRS), all contributions are solicited with the understanding that JEMS/AACF has complete discretion and administration over the use of the donated funds. </p>