CANADIAN PEREGRINE FOUNDATION

Birdathon 2001 - Pledge form

To sponsor the Canadian Peregrine Foundation through this year's Baillie Birdathon, please print out this page, fill in your personal information and your level of support, and mail it to:

Baillie Birdathon
Canadian Peregrine Foundation
P.O. Box 20494
Ottawa ON    K1N 1A3

Note: if you are making a flat rate pledge, you can send it in right away - please make cheque payable to Baillie Birdathon.


Yes, I will help fund bird conservation in Canada by pledging:

(__) $0.10 / species (__) $0.25 / species
(__) $0.15 / species (__) $0.30 / species
(__) $0.20 / species (__) $____ (flat rate)

Name: ________________________________________    

Phone: _______________________________________

Address: ______________________________________

______________________________________________

Town: _________________________________________

Province / State: ________________________________

Postal / Zip code: _______________________________   

E-mail: _______________________________________

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