www.cypresscarwash.net

Donatfrm

click to enter

PLEASE FILL OUT THIS FORM, PRINT IT AND MAIL IT ALONG WITH YOUR CONTRIBUTION TO THE ABOVE ADDRESS
YES! I want to support wildlife rehabilitation in San Benito County

NAME
ADDRESS
CITY, STATE ZIP
PHONE  FAX  E-MAIL 

I want to become a member!

Annual memberships:
 $ 100 – $499 Business/Community
 $ 40 – Family
 $ 70 – Family 2 years (Save $10.)
 $ 25 – Individual
 $ 45 – Individual 2 years (Save $5.)
 $ 10 – Senior / Junior / Student		 Lifetime memberships:
 $1000 or more Benefactor
 $ 500 – $999 Sponsor

Cash Contribution (every little bit helps)

 Yes, I would like a screen saver for my
Windows 95 or newer PC.

YES!! I want to contribute to the Endowment Fund

 I would like to make a donation to increase the Endowment Fund.

Amount  For the endowment fund, please make checks payable to: Community Foundation/ Wildlife Center.

YES!! I want to make a difference!!! – I want to volunteer
(please check all that apply)

 to be a board member
 to help with the newsletter
 to work in the fireworks booth		  to help organize the dinner/auction
 to maintain & repair wildlife habitat
 to care for & feed sick & injured animals

Nan Pipestem Wildlife Rehabilitation Center
is a non-profit (501(c)3) volunteer organization
– REHABILITATE – RELEASE – EDUCATE –
 

npwrc