Lion's Pride Printable Form

YES! I want to join Lion’s Pride!
Print out and mail this form to:
Wildlife Conservation Society
2300 Southern Blvd.
Bronx, NY 10460
ATTN: Lion’s Pride
or
fax to: 718-367-1657

Name: _____________________________________

Address_____________________________________

City_______________________ State ________ Zip____________

Daytime phone:__________________________________

I authorize monthly gifts to the Wildlife Conservation Society in the amount and manner listed below.

Choose a monthly gift amount:

_____$10   _____$12.50   _____$15   _____$25   Other $__________(minimum $8)
 
 

Choose a payment option:

_____Automatic Bank Transfer
Important: Please enclose your signed check in the amount of your first monthly installment. Make check payable to Wildlife Conservation Society.

_____Credit Card

_____Visa   _____Amex   _____Mastercard   _____Discover

Card #_____________________________________ Exp. Date:______________

I understand that I can change or stop my automatic monthly giving at any time by contacting WCS. Each payment will be indicated on my bank or credit card statement and will serve as my receipt. I will notify WCS promptly of any bank or credit card changes. WCS will supply a yearly statement of your giving including information regarding deductibility. The tax-deductible portion of your gift is determined by the benefits you receive. Benefits include Wildlife Conservation Magazine and Lion’s Pride personal organizer. Lion’s Pride members may "opt out" of any benefits by checking the appropriate box below:

_____ Do not send me Wildlife Conservation magazine ($12 value)
_____ Do not send me the Lion’s Pride personal organizer ($15 value)

Signature:______________________________________ Date:______________