Mountainaire Avian Rescue Society  

Donation
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Yes I want to help Mountainaire Avian Rescue Society (MARS) continue to help wildlife recover.
Please find my cheque enclosed for my membership:
(Membership Category: Individual $15 Senior/Student $10 Family $25)
Plus an additional donation of $ _________

for a total Amount of: $ ______________

Or:
I want to sponsor a:
Pelican        Eagle        Owl        Great Blue Heron        Songbird

 I would like a:
Gold Sponsorship ($200.00)          Silver Sponsorship ($100.00)        Bronze Sponsorship ($50.00)

Print form and and mail to:
Mountainaire Avian Rescue Society
 6817 Headquarters Road
Courtenay, BC
V9J 1N2

Or Call
(250) 337-2021
Tax Receipt Requested? Yes No (Receipt can not be issued for membership fees)

Please charge my Visa - MasterCard this one time donation
Card Number:

                               

Expiry Date:

       

Name on card:______________________________________

Signature          ______________________________________

I really want to help, please make a monthly charge to my credit card of $____________ 
or
 call me and let me know how I can make monthly payments in support of wildlife in Northern Vancouver Island. 

I understand I may cancel this authorization at any time with written notice.

Name:

 

Address:

 

City & Postal Code:

 

e-mail:

 

Phone Number:

 

All information will be kept within MARS and NOT made available to any one else without your written permission.