Sea Shepherd Conservation Society
Mail or Fax Donation Form

Instructions: Complete the following information, print, then sign and return the completed form to the address below.

Personal Information:

Circle:

Mr. Ms. Mrs. Dr. Other______

Name:

Street 1:

Street 2:

City:

State/Province:

Postal Code:

Country:

Telephone:

E-mail:

Credit Card Information (if applicable):

Name on card:

Card number:

Card type :

Expiration (mm/yyyy):

 

 


 
 

Signature________________________________

Special Instructions :

Credit Card Donations:  Please select the donation amount (US Dollars):

$15
$25
$35
$50
$100
$250

Other amount:

If you are from outside the US, you can calculate the equivalent value of your
local currency by using this currency converter.  All donations are charged in U.S. dollars.


Check or Money Order Donations:  All currencies are welcome - donations may be made in your local currency - no conversion to U.S. dollars is necessary.

Make check or money order donations payable to "Sea Shepherd Conservation Society."  Please print this form and mail to:

Sea Shepherd Conservation Society         Or FAX to: +1 360 370-5651
P.O. Box 96059
Washington, DC 20090-6059
USA

How did you hear about Sea Shepherd? __________________________________________________________

What inspired you to donate? __________________________________________________________________

Would you like to receive information on wills and planned giving options? (check here for YES) 

Sea Shepherd Conservation Society is a registered 501(c)(3) non-profit in the United States, and a
registered Stichting in The Netherlands.  Gifts are deductible to the full extent of the law.