Donation Form © May 1989-2005 Painted Dog Conservation Project - Zimbabwe

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Painted Dogs need YOUR HELP! Please make a difference to their survival by making a contribution NOW!

Donation Form:

Most Internet browsers should allow you to complete this form (within your browser), and print it, however if yours does not, then simply leave the form blank, print, and then fill in by hand. Once completed, please mail to one of the addresses below. Thank you.

Name:        

Address:    

Post Code:

Country:   

Method of payment:

Cheque enclosed payable to Painted Dog Conservation:

$

Credit Card:

Visa        Mastercard             Amount$

Card Number:

Expiry date (day/month/year): OR (month/year) as shown on card

Name as shown on card (please print):

Signature: ...................................................................

Date (dd/mm/yyyy):    

Please forward your contribution to the following registered entities to help conserve this endangered species:

 
Donations in Australia may be sent to:

The Secretary

Painted Dog Conservation Inc.

24 Earnley Way

Balga   WA   6061

AUSTRALIA

Donations are tax deductible to UK residents via:

Painted Dog Conservation UK

9 King's Road

St Albans

Herts AL3 4TQ

Donations are tax deductible to US residents via:

Wildlife Conservation Network Inc.

25745 Bassett Lane

Los Altos, CA 94022 USA

Updated: 09 September 2007

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© May 1989-2006 Painted Dog Conservation Project -  Zimbabwe

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