National Environmental Treasure (NET)
Donation Form

From NET website: http://www.oursafetynet.org

Please make your cheque payable to "The National Environmental Treasure"

Name:

 


___________________________________________________________

Address*:

 


___________________________________________________________________

___________________________________________________________________

___________________________________________________________________

 

*Your address is needed to mail you a tax receipt. We assure you that we do not share or sell donor information.

 

Donor List

1. Would you like your name to appear on our Donor List (located on our website)? Yes / No (Circle One)

2. You can also make a donation in the name of someone else, to honour them. If you would like someone recognized on our Donor List in this manner, please give their name here:

_______________________________________________________________________________

Would you like your own name included with the honoree, as the donor? Yes / No (Circle One)

 

Mailing Information

Mail this form and your cheque to:

National Environmental Treasure
99 Fifth Avenue, Suite 315
Ottawa, Ontario K1S 5P5


Thank you for your donation