| Date: ______________________________________________________________ |
| Name:________________________________________________________________________________________ |
| Address:______________________________________________________________________________________ |
| City: _______________________________________ State:__________________________________________ |
| Country: ____________________________ Zip Code.: ____________ Phone.:____________________________ |
| E-mail:_______________________________________________ |
| ¿How did you learn about us?:____________________________________________________________________ |
Yes, I want to support Amigos de Sian Ka'an and their efforts to preserve and protect Quintana Roo's natural
heritage. I am enclosing a gift in US dollars of:
|
|
$
|
25
US
|
Member
|
Parrot | ||
|
|
$
|
50
US
|
Family
|
Flamingo | ||
|
|
$
|
100
US
|
Amigo
|
Manatee | ||
|
|
$
|
250
US
|
Collaborator
|
Jabiru | ||
|
|
$
|
500
US
|
Benefactor
|
Margay | ||
|
|
$
|
1,000
US
|
Sponsor
|
Jaguar |
|
|
I already sent my fee and want to make an additional contribution of: _____________________________________ |
Please make your check
payable to:
Amigos de Sian Ka'an, A.C.
and mail to: Apartado Postal 770,
Cancún, Quintana Roo, 77500, México.
Donations of $100 dollars
or more can be tax deductible in the USA.
In this case, make a check payable to:
"The Sian Ka'an Project of the FMDF" and mail to:
Friends of Mexican Development Foundation
67 A East 77th Street
New york, N.Y. 10021-1813
Phone (212) 737-1011