DONATE TO A SPECIFIC WILDIZE PROJECT

WildiZe Foundation™ EIN# 84-1549097
c/o Eli Weiss
POB 3078
Aspen, Colorado 81612

Dear WILDIZE FOUNDATION

I WOULD LIKE TO MAKE A DONATION TO THE FOLLOWING PROJCECT:

Amount: $
For:(name of organization/project):
Its address:
Its telephone number (including country code and city code, if applicable):
Person to contact there:

PURPOSE OF THE DONATION:

 

If the grant is made, payment will not represent the payment of any pledge or other financial obligation of mine. If the grantee offers any benefits or privileges in connection with the grant, I will not accept them.

I recognize that WildiZe Foundation™ may incur substantial expenses in determining the suitability of the grants made by WildiZe Foundation™ to other organizations and in monitoring the grantee's compliance with the conditions of the grant. I understand that the actual expenses of WildiZe Foundation™ will probably be determined by the amount of the grant and the number of grantees to which my contribution is directed. I further understand that it is likely that the expenses of WildiZe Foundation™ will range between three percent (3%) and ten percent (10%) of my contribution to WildiZe Foundation™. Accordingly, I hereby authorize WildiZe Foundation™ to deduct a reasonable amount from my contribution to cover its expenses in administering my grant.

Name:
My billing address:
My City:
My State:
My Zip Code:
My telephone (including country code and city code, if applicable):
Email Address

Special Instructions

Please indicate any other specifications here:

Payment Information

Card Name

Card Number

Expiration Date
Cardholder's Name (as it appears on my card)

 


Please email us with any questions!   info@wildize.org
Thank you for your donation!




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© 2000 WildiZe Foundation™
PO Box 3078 Aspen, Colorado, USA 81612
877.351.4507 toll free phone | 970.923.1695 fax

e-mail: info@wildize.org

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