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Print this page, fill it out, and return it with your payment to: |
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I pledge to give *$20 a month (or more) in honor of LSP's 20th Anniversary. | |
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I cannot make a monthly pledge, but would like to give a special one-time gift above my annual membership in the amount of $ _________. | |
| PAYMENT INFORMATION | ||
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Begin my monthly pledge of *$ _________ payable on the 15th of each month using: | |
| ______ Credit card (see below) | ||
| ______ Automatic withdrawal (I have enclosed a voided check so you can withdraw my monthly donation directly from my cheking account.) |
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My check is enclosed, payable to the Land Stewardship Project. | |
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Charge $_________ to my credit card. | |
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CREDIT CARD INFORMATION
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| _____ Visa | _____ Master Card | Exp. Date _____/_____ | |
| Account Number __ __ __ __ - __ __ __ __ - __ __ __ __ - __ __ __ __ | |||
| * Due to the logistics of processing donations, we regret that we cannot accept monthly pledges of less than $20. | |||
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PERSONAL INFORMATION | |
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Name:
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_______________________________________________________________ | |
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Street Address:
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_______________________________________________________________ _______________________________________________________________ |
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City, State, ZIP:
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_______________________________________________________________ | |
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Home Phone:
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Include Area Code:_______________________________ | |
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Work Phone:
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Include Area Code:_______________________________ | |
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Email Address:
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_______________________________________________________________ | |
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Make checks payable to the Land Stewardship Project LSP welcomes and appreciates all gifts! Your gift is 100% tax-deductible. |
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| Quick Links |
| Tel: 651 653-0618 |
©Land Stewardship Project, 2001
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