Yes! I wish to donate to help save endangered plants and habitat;  enclosed is my donation of

[ ] $25.00

[ ] $50.00

[ ] $100.00

[ ] $250.00

[ ] $500.00

or   ______________

This donation is for:   [ ] General Funds     [ ] Brokenhead Boardwalk Project

Name:	________________________________________________________________
Address:	________________________________________________________________
	________________________________________________________________
Special Instructions  (for "in memory of", etc):
	________________________________________________________________
	________________________________________________________________

A tax-receipt will be issued in February, next;  our Tax# is  86816 7198 RR0001.

Make cheque payable to  Native Orchid Conservation Inc  and mail it to:

Peggy Bainard Acheson, NOCI Membership Chair 1307 - 90 Plaza Drive Winnipeg, MB R3T5K8