Donation Form

Yes, I want to be a Friend of the Swallowtail Keepers Society.

I wish to donate:  ___$25  ___$50  ___$75  ___$100  ___$250 or $________

Name: ____________________________________________

Address: __________________________________________

City: _____________________________________________

Postal/Zip Code: _____________  Prov./State: _____________

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:

Name: ____________________________________________

Address: __________________________________________

City: _____________________________________________

Postal/Zip Code: _____________ Prov./State: _____________

Tax receipts can be issued for donations.  Canadian tax registration: 80352 7019 RR0001
 
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.
 
Your donations are greatly appreciated.