Offline Donation Form

Please print this form, fill it out, and mail it to:

World Wildlife Fund
Accounts Receivable
1250 24th Street, NW
Washington, DC 20037

This is a gift to Eileen Burnell's personal fundraising page.

Yes, I want to support the above Panda Nation campaign and provide funds to help protect endangered wildlife and the habitats they need to survive.

I am donating: $35 $55 $100 $250 Other $

Display my name on the fundraising page as (e.g. Uncle Joe, Mom or Anonymous)

[ ] Please do not show my gift amount on the page.

Payment Type:
[ ] Check enclosed (Make your check payable to World Wildlife Fund)
[ ] Please charge my: MasterCard VISA AMEX DISC

CREDIT CARD NO. EXPIRES

SIGNATURE:

Your information: (*required) *NAME:

*BILLING ADDRESS

*CITY *STATE/PROVINCE

*ZIP/POSTAL CODE *COUNTRY

EMAIL (Should we have questions about processing your gift)

For WWF use:

Fundraiser ID: 16481780 Fund ID: 2412 Source: Panda Paddle