I wish to donate: ___$25 ___$50 ___$75 ___$100 ___$250 or $________
Name: ____________________________________________
Address: __________________________________________
City: _____________________________________________
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I would like to make this a gift for: ___________________________________
Address: __________________________________________
City: _____________________________________________
Postal/Zip Code: _____________ Prov./State: _____________
I would like this to be in memory of: __________________________________
Please let the following know of this donation:
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Mail cheques or money orders to: Swallowtail Keepers Society
50 Lighthouse Road, Grand Manan, NB Canada E5G 2A2
Donations can also be made online at Canada Helps (http://www.canadahelps.org/). Enter Swallowtail Keepers Society in the Search box.