Nature Canada — Mail-in Donation Form

Please print out this form, fill it in and send it back to us.

FAX
1-613-562-3371

75 Albert St., Suite 300
Ottawa, ON, K1P 5E7

 YES! I want to make a donation to protect Canada’s natural habitats!

 $100       $200       $500       Special amount $______________

 

Name: __________________________

Address: ________________________

City: ________________      Prov: ____    Postal Code: ___________

Phone: _________________         Email: _____________________

 Cheque (enclosed)   VISA    American Express   Master Card

Card #: ____________________     Expiry date: _____________


Signature: ______________________________

Thank you for caring about Canada’s nature!

Nature Canada is a registered charity and issues tax receipts.
Our charitable registration # 11883-4704-RR0001.