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WORLD
CHELONIAN TRUST
PO Box 1445, , Vacaville, CA 95696
WWW.Chelonia.org
MEMBERSHIP
FORM
| NAME:_______________________________________________________________ |
| ADDRESS:___________________________________________________________ |
| CITY/ STATE/ ZIP:______________________________________________________ |
| E-MAIL:______________________________________________________________ |
|
PHONE/ FAX NUMBERS:________________________________________________ |
| Please
PRINT your name, address and E-mail carefully |
Membership
Levels, please check one
| ______Basic (within USA)* $20.00 |
| ________Overseas/Foreign* $30.00 |
| ________Contributing*~ $50.00 |
| ________Sustaining*~ $100.00 |
| ________Life*~ $300.00 |
|
________Reduced* $15.00 (Senior or Student) |
| ______Additional Charitable Donation**
$___________ |
| _______ Is this a renewal? |
|
PLEASE
MAKE CHECKS PAYABLE TO: WORLD
CHELONIAN TRUST or WCT |
| *Any amount over $10.00 may be tax deductible |
| **May be totally tax deductible, consult your tax advisor |
| ~Members will be listed as “Friends of the Trust” |
|
The WCT is a 501(c)3 Charitable Organization |