Step 1 of 4 25% Name(Required) First Last Email(Required) Phone(Required)Choose your gift recognition:(Required) Oak Leaf ($1,000+) Oak Leaf(Required)Please type your name or dedication as it should appear on your Oak leaf (max 30 characters, including spaces): Oak Leaf(Required)Please type your name or dedication as it should appear on your recognition Oak Leaf (max 30 characters, including spaces): HiddenLine 1(Required)Please type your three lines of text below to be shown on your tree/bench/table (max 25 characters per line, including spaces): Line 2 Line 3 Thank you for your generous support! For larger donations, we request that you send your donation via check. Note, while checks should be made out to Dientes Community Dental Care, they will support both organizations equally (Dientes and Santa Cruz Community Health).Please confirm the following(Required) My donation check is made out to ‘Dientes Community Dental Care’ with a memo/subject line ‘Capitola Road Donation’ Please confirm the following(Required) My check will be mailed to: Dientes Community Dental Care 1830 Commercial Way Santa Cruz, CA 95065 Please confirm the following(Required) I understand my recognition will coordinate with my gift amount as follows and is dependent on availability: Tree & Oak Leaf ($5,000+)Bench & Oak Leaf ($10,000+)Table & Oak Leaf ($15,000+) Donations are tax deductible and our Tax ID is: 77-0311752.