EXPEDITION PLANET EARTH DONATION FORM

Please make cheques payable to Angus Adventures, and mail to

2961 W 42nd Ave
Vancouver, BC
V6N-3G8

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EXPEDITION PLANET EARTH DONATION FORM

Please print, fill out, and post to the address listed at the bottom of this form. Thanks for your support.

 

First Name:

Last Name:

Street Address:

City:

Country:

Postal Code:

Phone:

Fax:

Email:

 
Please Check one of the following:

__      I would like to be a level one donor and am sending $20
__      I would like to be a level two donor and  am sending $50
__      I would like to be a level three donor and am sending $100 
__      I would like to be a level four donor and am sending $150
__      I would like to be a level five donor and am sending $250
__      I would like to donate an unspecified sum of ______

Enclosed is my cheque or money order for $ ___________ payable to Angus Adventures.

 

 

 

 

 

Signature:

 


Expedition Planet Earth
2961 W 42nd Ave
Vancouver, BC
V6N-3G8