We appreciate your support in this campaign to generate much needed funds to benefit our Cupertino, Gilroy, LosGatos and Willow Glen Centers by providing lunches, supplies and salaries.

*Please be informed that according to the IRS, the amount of the donation is fully deductible for federal income tax purposes. Live Oak Adult Day Services isa non-profit public benefit corporationwith501C(3) Status.All contributions are kept confidential and no services are performed for these donations. If you win a raffle prize, the value of the prize will need to be deducted from the contribution amount.

    Your Name (required)

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    Donation amount (required)
    Donation Levels: Gold($150), Silver($100), or Bronze($60)
    + Suggested additional donation $20 for Holiday Card Set

    Donation in honor of/Donation in memory of?

    Please specify which basket your raffle tickets should go towards (and number of tickets for each) eg:
    Eataly Baskets : 3 raffle tickets, Good Karma bikes: 3 raffle tickets

    Options for Raffle Tickets are:
    Eataly Baskets, Bargetto Winery Package, Starbucks Basket, Montery Aquarium Family Pass, San Jose Historic Building Drawings, Good Karma Bikes, Santana Row Gift Card, Chandon Magnum Package, Natural Creations Gift Card, Two Bottles of Ridge Wine, Yamagami's Nursery, Ukulele Package, Dinner for 10 at Live Oak, Holiday Card Set.