GIFT FORM
Yes, I/we want to support WEI's environmental justice mission. Print this form and send to WEI along with a check made out to WEI and mail to:
WEI,P.O. Box 128, North Branch, MN 55056. Every gift helps us effectively continue the work of our mission.
1) Year-end contribution. The enclosed check is a gift to support the ongoing work
of the Women’s Environmental Institute. (Make all checks payable to WEI.)
__$25 __$50 __$100 __$250 __ $500 __$1000 __$2500 __ $5000 __$10,000 __other
__I would like to make this gift in honor of ___________________________________
2) Capital Campaign Challenge $100,000
___$500 ___$1000 ___$5000 $__________Other
3) Membership--( ) new or ( ) renewing
_____Single Membership $48/____ Joint $58 Name:_________________________________
4) Gift membership from ______________________to_____________________________
_____Single Membership /$48 Name: ___________________________________________
_____Joint Membership /$58 Names: ___________________________________________
Recipient address_______________________________________________________________
( ) Please notify recipient of gift or ( ) Please send gift certificate to me
5) Amador Hill Eco-Retreat Center: Please contact me about reserving a date ( )
Please fill out required contact information below:
Your name ____________________________Email_____________________
Address _______________________________________________________
City/State/Zip_________________________ Telephone__________________
*A receipt will be provided for your charitable contribution tax deduction subject to IRS code.