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EcoVitality

Combining Conservation and Development in Poor Countries


Check Contributions Form


EcoVitality is a Non-Profit, 501(C)(3) Tax-Exempt Conservation Organization, and Contributions are Deductible to the Fullest Extent Allowable Under Federal and State Law.

Please Print and Mail the Following Form with Your Check to:

EcoVitality
224 Centre Street
Second Floor
New York, NY 10013

The information in this form will be used only to maintain a confidential record of our contributors, as required by the IRS, and to tell you occasionally about EcoVitality's projects and other activities.  We will not sell or exchange any information about you.  In case of special circumstances, please e-mail us at:  info@ecovitality.org   or call us at  212-966-8803.

Name:

 

 

Company name (Optional):  
E-Mail Address:  

 

Street Address:  
City, State, Zip Code, and Country:  

 

Preferred Telephone No:  
Check Date and Number:  
Amount of Check:  

 

Comments (Optional)
 

 

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