Native Orchid Conservation Inc.
Donation Form
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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 ______________
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This donation is for: [ ] General Funds [ ] Brokenhead Boardwalk Project
| Name: | | ________________________________________________________________ |
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| Address: | | ________________________________________________________________ |
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| | | ________________________________________________________________ |
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| Special Instructions (for "in memory of", etc):
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| | | ________________________________________________________________ |
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| | | ________________________________________________________________ |
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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:
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Peggy BainardAcheson, NOCI Membership Chair
P O Box 56025
Winnipeg MB R3B0G9
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