ACEER Donation Form



YES! I want to make a tax-deductable donation to the ACEER Foundation.

Name:_______________________________________________________________________________________


Address:____________________________________________________________________________________


City, State, Zip:________________________________________________________________________________


Phone:______________________________(home)      __________________________________ (cell)


E-mail:________________________________________________________________

Please indicate you donation level:

Friend: $50; ______

Family: $100; ______

Sponsor: $250; ____

Patron: $500; ___

Benefactor: $1000; ___

Giving Society : $5000; ______

Other: _________


You can designate your donation to a specific program.  Please identify the program(s) below that you wish to support and the amount of your gift:

Fund

Amount

___ Environmental Education

$________

___ Ethnobotany

$________

___ Research

$________

My check for $___________is enclosed payable to the ACEER Foundation

Please charge my credit card $_______________(total)        $____________________(monthly)

VISA   MasterCard  #_____________________________________________  Exp.____________________

3-Digit Pin: _____________________________

Signature: _______________________________________________________________________________________

_____My company will match my gift.  Company name: ____________________________________________

_____ I would like to receive the ACEER newsletter and other publications


Thank you very much for your support!!!

Please mail your check made payable to:
The ACEER Foundation
P.O. Box 2549 - WCU
West Chester, PA 19383

 

ACEER Foundation is a US 501 c 3 non-profit organization registered with the Commonwealth of Pennsylvania
Aceer Foundation - Amazon Center for Environmental Education and Research