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Country ........................................................ |
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Tel-home .................................................... |
Tel-work ........................................................ |
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Fax .......................................................... |
Email ........................................................... |
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I enclose a donation of..... |
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[ ]$25
[ ]$50
[ ]$75
[ ]$100
[ ]$200
[ ]$500
[ ]$1000
Other $...................... |
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My donation is for Bank of New Zealand Kiwi Recovery. |
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My donation is for the Takahe Recovery Programme. |
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My donation is for the Kakapo Recovery Programme. |
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I would like my donation to be used to purchase land. |
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I wish to donate appreciated stocks. |
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I am interested in donating property. |
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I am interested in including Terra Nature Fund
in my revocable living trust. |
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I would like to receive Terra Nature Fund news by email. |
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I wish to make this donation anonymously. |
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I am making this donation on behalf of or in memory of
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(you can notify this person about your
dedication with a giving card provided by Terra Nature). |
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