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 Amy Burkall'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



Your information: (*required)    *NAME:




EMAIL (Should we have questions about processing your gift)

For WWF use:

Fundraiser ID: 15770889      Fund ID: 2022    Source:  United Airlines Rock 'n' Roll Washington DC Marathon, Half Marathon, & 5K

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