Wolves Ontario! Donation Form

YES! I WANT TO HELP PROTECT ONTARIO'S WOLVES
Please mail this form with appropriate payment method to Earthroots at: 401 Richmond St. West , Suite 410 Toronto, Ontario, M5V 3A8
Here's my donation of:	$50 $75 $100 $200
	I would prefer to give $_________

Name	___________________________
Address	___________________________
Province	___________________________
Postal Code	___________________________
Telephone#	___________________________
E-Mail Address	___________________________
Please Check One:

I have enclosed my cheque
I prefer to pay by VISA MasterCard
Card #	___________________________
Expiry	___________________________
Signature	___________________________
I would like to be a Sustaining Donor and give monthly. Please see below.

I want to donate to Earthroots Coalition in full
support of all campaigns. I understand this
contribution is not tax deductible.

I require a tax receipt and want to donate to
Earthroots Fund (charitable registration
#135165140 RR0001).

"Sustaining Donor"

This is a special group of Wolves Ontario! supporters dedicated to protecting threatened wilderness and wildlife by providing monthly support for our campaigns. As a year round supporter, you'll help us cut administrative and fundraising costs while reducing our use of paper! You may change or cancel your monthly donation any time by calling the Earthroots office at (416) 599-0152.

Please deduct a monthly contribution of:	$10 $15 $20 $30 ($1 a day!) Other $_________
I will make these contributions from my:	Chequing Account I have enclosed a VOID cheque
	VISA MasterCard Please fill in card information above.