Thank you for donating to Sierra Club BC! Please fill out ...

Thank you for donating to Sierra Club BC! Please fill out this form and send it to:

Mail: Sierra Club BC 301-2994 Douglas Street Victoria, BC V8T 4N4

Fax: 250 386 4453

Make a difference by becoming a monthly donor. Once per month I will give: ________________________________

I'd like to pay:

I'd like to make a one-time gift of: ________________________

Monthly by pre-authorized debit, using my chequing account (please include a voided cheque for pre-authorized debit) With a written cheque enclosed (one-time gifts only)

With my credit card

Visa

MasterCard

Amex

____________________________________ Card Number

______________ Expiry Date

______________ CVV# (3 digits on back of card)

______________________________ Signature

Full Name: __________________________ Phone number: _____________________ Email: ________________________________

Address: _______________________ ___________________________________ ___________________________________ ___________________________________

Prefer tax receipts and correspondence by: Please circle

Mail

Email

What areas of our work are you most interested in?

Connecting kids with nature

Saving the Peace Valley and stopping Site C

Protecting old growth forest

Stopping pipelines and tankers on BC's coast

Confronting climate change

Protecting the Flathead and BC's southern Rockies

Introducing a proportional representation voting system in BC

Thank you for joining the Club!

 ................
................

In order to avoid copyright disputes, this page is only a partial summary.

Google Online Preview   Download