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 Cindy Campbell'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: 1986077      Fund ID: 1244    Source:  Panda Nation - Special Occasion

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