St.
Francis Wildlife Donation Form
Name _______________________________________________________
E-mail address
_______________________________________________
Address ____________________________________________________
City ____________________________
State ____ Zip _____________
Phone __________________________
Date __________________
Special Donations
(These will be acknowledged in the next issue of our quarterly newsletter Wildlife Matters.)
If applicable, please complete the following additional information:
1. This is a memorial donation for: ______________________________.
Please send acknowledgment of this donation to: ___________________
Address: ___________________________________________________
2. This donation is in honor of _________________________________
for (special occasion) _________________________________________
Please circle
your donation level:
Chickadee:
$35 |
Bunny:
$50 |
Bluebird: $100 |
| Screech Owl :
$250 |
Fox:
$500 |
Gopher Tortoise: $1,000 |
| Fawn:
$2,500 |
Peregrine Falcon: $5,000 |
Bald
Eagle: $10,000 |
Please make
your check payable to the St. Francis Wildlife Association and
mail to:
St. Francis
Wildlife Association
P.O. Box 38160
Tallahassee,
FL, 32315 |