Ventana Wildlife Society Donation Form
Note: This form is for donations only. To join VWS, see our Membership page on our web site.

Name _____________________________________________________________

Address____________________________________________________________

City_________________________________ State_________ Zip_____________

Country_________________________

Phone_____________________________ E-mail __________________________

Amount of donation: $________________ (U.S. dollars)

Method of payment:

Check/money order, payable to Ventana Wildlife Society

Credit card:  Visa   Mastercard    Discover   

Credit card #______________________________   Expiration date____________

Signature ________________________________                        

You may use my name in public acknowledgements, such as the donor list published in Ventana's newsletter

Please refrain from using my name in any public acknowledgements, including newsletters, donor plaques and awards.

Wildlife Bronze Plaque:
Are you eligible for a complimentary plaque?
$250-$499 - small
$500-$999 - medium
$1,000 - large
Do not want, thanks

Comments: __________________________________________________________

Thank you for your donation. Please ensure checks are payable to Ventana Wildlife Society, and mail to the address below:

Ventana Wildlife Society
19045 Portola Dr. Ste. F-1
Salinas, CA 93908

A 501(c)3 non-profit organization