Please mail to: National Parks Conservation Association Attn ...
Please mail to: National Parks Conservation Association Attn: Membership Department 777 6th Street, NW, Suite 700 Washington, DC 20001 Honor a friend or loved one by giving a memorial gift or making a tribute gift to NPCA. Your donation is a thoughtful way of remembering a friend or loved one, or honoring someone special while protecting America's national parks. Your information: Name: Address: City:
______
State/Province:
Postal/Zip Code:
________
Country/Region:
_____
Email: Home Phone:
Work Phone:
NPCA Member #:
(Optional; above your name on your National Parks magazine label)
Memorial gift
Gift type:
_
Tribute gift
In honor/memory of ________________________________________________________________________ (Please attach additional gift information if necessary.)
Please send gift acknowledgment to: Name: Address: City:
______
State/Province:
Postal/Zip Code:
Country/Region:
________ _____
Gift amount: $25
$35
$50
$100
Other Amount $
Payment information: Check enclosed Card Type:
Visa
MasterCard
Discover
American Express
Name on Card:
_
Card Number:
_
Card Expiration:
CCV*:
_
*3-digit code on the back of your Visa, MasterCard or Discover card; 4-digit code on the front of your American Express card.
Signature: ✔ Yes, I would like to receive Park Lines, NPCA's monthly parks email newsletter (please be sure to include your email address above).
If your company has a matching gift program, please ask your human resources or personnel office for the appropriate forms and guidelines. Thank you for helping protect the parks! NPCA is a 501(c)(3) and contributions are deductible for federal income tax purposes.
ALG1400N1WSC
______
State/Province:
Postal/Zip Code:
________
Country/Region:
_____
Email: Home Phone:
Work Phone:
NPCA Member #:
(Optional; above your name on your National Parks magazine label)
Memorial gift
Gift type:
_
Tribute gift
In honor/memory of ________________________________________________________________________ (Please attach additional gift information if necessary.)
Please send gift acknowledgment to: Name: Address: City:
______
State/Province:
Postal/Zip Code:
Country/Region:
________ _____
Gift amount: $25
$35
$50
$100
Other Amount $
Payment information: Check enclosed Card Type:
Visa
MasterCard
Discover
American Express
Name on Card:
_
Card Number:
_
Card Expiration:
CCV*:
_
*3-digit code on the back of your Visa, MasterCard or Discover card; 4-digit code on the front of your American Express card.
Signature: ✔ Yes, I would like to receive Park Lines, NPCA's monthly parks email newsletter (please be sure to include your email address above).
If your company has a matching gift program, please ask your human resources or personnel office for the appropriate forms and guidelines. Thank you for helping protect the parks! NPCA is a 501(c)(3) and contributions are deductible for federal income tax purposes.
ALG1400N1WSC
